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TATE FAMILY DENTISTRY, PA
NPI 1003811100
Dentist - General Practice in Southlake, TX

Active since June 15, 2005
3101 E STATE HIGHWAY 114, STE A, SOUTHLAKE, TX 76092(817) 481-6364(817) 329-2296 Get Directions Write a Review

NPPES record last updated: December 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tate Family Dentistry, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATE FAMILY DENTISTRY, PA (NPI 1003811100), doing business as John Michael Tate Dds Pa, is a healthcare organization registered as a general practice in Southlake, Texas and active in the NPI registry since June 2005. The organization lists John Tyler Tate, Secretary, as its authorized official.

NPPES Registry Identity

NPI1003811100
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTATE FAMILY DENTISTRY, PA
Location Address3101 E STATE HIGHWAY 114, STE ASouthlake, TX 76092-6690
Mailing Address3101 E State Highway 114, Ste ASouthlake, TX 76092-6690 · (817) 481-6364 · Fax (817) 329-2296
Phone(817) 481-6364
Fax(817) 329-2296
Organization SubpartNo
Authorized OfficialJohn Tyler TateSecretary · (817) 481-6364
Enumeration DateJune 15, 2005
Last NPPES UpdateDecember 15, 2014
✔ NPI 1003811100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · TX11540
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3101 E STATE HIGHWAY 114, Southlake, TX 76092
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Other Names 1

Former Legal Business NameJohn Michael Tate Dds Pa

Other Identifiers 2

OtherTX26565TX · Dental License Number
OtherTX11540TX · Dental License Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENJAMIN CARROLL PT, DPT
Physical Therapist
3101 E STATE HIGHWAY 114
SOUTHLAKE, TX 76092
Tarrant County (817) 251-6351
SELECT PHYSICAL THERAPY TEXAS LIMITED PARTNERSHIP
Clinic/Center (Rehabilitation)
3101 E STATE HIGHWAY 114, NUMBER B
SOUTHLAKE, TX 76092
Tarrant County (817) 481-8585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tate Family Dentistry, PA's NPI number?

The NPI number for Tate Family Dentistry, PA is 1003811100. It was assigned to this organization in the NPPES registry on June 15, 2005. The provider was formerly known as John Michael Tate Dds PA.

Where is Tate Family Dentistry, PA located?

Tate Family Dentistry, PA is located at 3101 E State Highway 114 Ste A, Southlake, TX 76092. The listed phone number is (817) 481-6364.

What is Tate Family Dentistry, PA's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tate Family Dentistry, PA was last updated on December 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.