IndividualActive
Tate Montgomery, DDS
NPI 1255575502 · Dental Anesthesiology · Edmond, OK
Provider details
- NPI number
- 1255575502
- Entity type
- Individual
- Primary specialty
- Dental AnesthesiologyDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 6231 (OK)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Student, Health Care
Practice location
3824 S Boulevard Ste 110
Edmond, OK 73013-5779
Phone: (918) 200-9610
Fax: (913) 904-1353
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 30
Sapulpa, OK 74067-0030
Registry dates
- Enumerated
- 2009-04-29
- Last updated
- 2015-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.