Individual provider · Type 1 NPI

Jaquita Larshe Tate

Dental Assistant · Fort Stewart, GA

NPI number 1124470695 Active

Practice location

305 Vanguard Rd
Fort Stewart, GA 31314

Call (912) 435-5705 Map

Specialties and licenses

TaxonomyCodeLicense
Dental Assistant Primary 126800000XNone listed

Dental Assistant: An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the d…

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About NPI 1124470695

Jaquita Larshe Tate's National Provider Identifier is 1124470695, issued on Jul 8, 2016. The primary taxonomy on file is Dental Assistant (126800000X), and the practice location is in Fort Stewart, GA. The record was last updated on Jul 8, 2016.