Dentate Pllc in Nacogdoches - Oral And Maxillofacial Surgery
Dentate Pllc - NPI 1487623104
Dentate Pllc is a Oral And Maxillofacial Surgery in Nacogdoches, Texas. Dentate Pllc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Dentate Pllc is 1487623104. The last update date is 2021-08-20.
Dentate Pllc's current location address is 508 Russell Blvd, Nacogdoches, Texas. You can contact this provider via phone number 9365691111 and fax number 9365640808. The mailing address for Dentate Pllc is 508 Russell Blvd, Nacogdoches, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dentate Pllc |
|---|---|
| Address | 508 Russell Blvd, Nacogdoches, Texas |
| Phone Number | 9365691111 |
| Fax Number | 9365640808 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Tate Scott Gregory |
| Credentials | MD, DDS |
| Telephone Number | 9365691111 |
NPI Number Detail
| NPI Number | 1487623104 |
|---|---|
| Provider Enumeration Date | 2006-03-15 |
| Last Updated Date | 2021-08-20 |
Provider Mailing Address Detail
| Address | 508 Russell Blvd |
|---|---|
| City | Nacogdoches |
| State | Texas (TX) |
| Post Code | 759651244 |
| Phone Number | 9365691111 |
| Fax Number | 9365640808 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
|
Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Dentate Pllc by the Centers for Medicare & Medicaid Services?
The Dentate Pllc has been issued the NPI (National Provider Identifier) 1487623104, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Dentate Pllc is physically located?
The Dentate Pllc is physically situated at the following address: 508 Russell Blvd, Nacogdoches, TX, 759651244.
What is Dentate Pllc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dentate Pllc is Oral And Maxillofacial Surgery, and the taxonomy code that categorizes this field of expertise is 1223S0112X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487623104 to Dentate Pllc?
The Centers for Medicare & Medicaid Services originally issued the 1487623104 to Dentate Pllc on 2006-03-15.
As of what date was the information regarding Dentate Pllc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dentate Pllc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-08-20.