Individual provider · Type 1 NPI
Tate Montgomery, DDS
Dental Anesthesiology · Edmond, OK
Practice location
3824 S Boulevard Ste 110
Edmond, OK 73013-5779
Fax (913) 904-1353
Mailing address
PO Box 30
Sapulpa, OK 74067-0030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 6231 (OK) |
| Dentist | 122300000X | 58243 (CA) |
| Dentist | 122300000X | 60643 (KS) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Dental Anesthesiology Primary | 1223D0004X | 6231 (OK) |
Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
5 other providers at this address
- Karlee Major, AUDAudiologist Edmond, OK NPI 1306456694
- Kaytee Nicole Latzke, AUDAudiologist Edmond, OK NPI 1265325617
- Rachel Britton, AU.D.Audiologist Edmond, OK NPI 1013457985
- Rebecca Kay Jenkins, M.S.Audiologist Edmond, OK NPI 1447002498
- Stephanie Lynn Gannaway, AU.D., CCC-AAudiologist-Hearing Aid Fitter Edmond, OK NPI 1942593017
About NPI 1255575502
Tate Montgomery, DDS's National Provider Identifier is 1255575502, issued on Apr 29, 2009. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Edmond, OK. The record was last updated on Apr 2, 2015.