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TATE MONTGOMERY DDS
NPI 1255575502
Dentist - Dentist Anesthesiologist in Edmond, OK

Active since April 29, 2009
3824 S BOULEVARD STE 110, EDMOND, OK 73013(918) 200-9610(913) 904-1353 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tate Montgomery Dds NPPES

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

TATE MONTGOMERY DDS (NPI 1255575502) is an individual dentist anesthesiologist in Edmond, Oklahoma, licensed in Oklahoma (6231) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1255575502
Entity TypeIndividualMale
Primary Taxonomy1223D0004X
Provider Legal NameTATE MONTGOMERYCredential: DDS
Location Address3824 S BOULEVARD STE 110Edmond, OK 73013-5779
Mailing AddressPo Box 30Sapulpa, OK 74067-0030 · (918) 200-9610 · Fax (913) 904-1353
Phone(918) 200-9610
Fax(913) 904-1353
Sole ProprietorNo
Enumeration DateApril 29, 2009
Last NPPES UpdateApril 2, 2015
✔ NPI 1255575502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License✔ Licensed in OK · 6231
Definition
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.
Also ListedDentistTaxonomy 122300000X · License 6231 (OK), 58243 (CA), 60643 (KS)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3824 S BOULEVARD STE 110, Edmond, OK 73013
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Other Providers at the Same Location NPPES 5

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

RACHEL BRITTON AU.D.
Audiologist
3824 S BOULEVARD STE 110
EDMOND, OK 73013
Oklahoma County (405) 562-1810
KAYTEE NICOLE LATZKE AUD
Audiologist
3824 S BOULEVARD STE 110
EDMOND, OK 73013
Oklahoma County (405) 546-4280
KARLEE MAJOR AUD
Audiologist
3824 S BOULEVARD STE 110
EDMOND, OK 73013
Oklahoma County (405) 562-1810
REBECCA KAY JENKINS M.S.
Audiologist
3824 S BOULEVARD STE 110
EDMOND, OK 73013
Oklahoma County (405) 562-1810
STEPHANIE LYNN GANNAWAY AU.D.,CCC-A
Audiologist-Hearing Aid Fitter
3824 S BOULEVARD STE 110
EDMOND, OK 73013
Oklahoma County (405) 562-1810

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 Montgomery's NPI number?

The NPI number for Tate Montgomery is 1255575502. It was assigned to this individual provider in the NPPES registry on April 29, 2009.

Where is Tate Montgomery located?

Tate Montgomery practices at 3824 S Boulevard Ste 110, Edmond, OK 73013. The listed phone number is (918) 200-9610.

What is Tate Montgomery's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dentist Anesthesiologist, with taxonomy code 1223D0004X.

When was this NPI record last updated?

The NPPES record for Tate Montgomery was last updated on April 2, 2015. 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.