TATE PEARSON DMD
NPI 1609565449
Dentist - General Practice in Fort Leonard Wood, MO

Active since May 08, 2023
1724 NEBRASKA AVE BLDG 1608, FORT LEONARD WOOD, MO 65473(573) 596-0417 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2024, May 8, 2023 (2 updates tracked since 2023).

About Tate Pearson Dmd NPPES

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

TATE PEARSON DMD (NPI 1609565449) is an individual general practice provider in Fort Leonard Wood, Missouri, licensed in Montana (DEN-DEN-LIC-28380) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1609565449
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTATE PEARSONCredential: DMD
Location Address1724 NEBRASKA AVE BLDG 1608Fort Leonard Wood, MO 65473-8939
Mailing Address1724 Nebraska Ave Bldg 1608Fort Leonard Wood, MO 65473-8939 · (573) 596-0417
Sole ProprietorNo
Enumeration DateMay 8, 2023
Last NPPES UpdateAugust 19, 20252 updates tracked since enumeration
NPPES CertifiedAugust 19, 2025
NPI 1609565449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MT · DEN-DEN-LIC-28380
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.
1724 NEBRASKA AVE BLDG 1608, Fort Leonard Wood, MO 65473

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.

Dentist
1724 NEBRASKA AVE BLDG 1608
FORT LEONARD WOOD, MO 65473
Dentist (General Practice)
1724 NEBRASKA AVE BLDG 1608
FORT LEONARD WOOD, MO 65473

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 Pearson's NPI number?

The NPI number for Tate Pearson is 1609565449. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Tate Pearson located?

Tate Pearson practices at 1724 Nebraska Ave Bldg 1608, Fort Leonard Wood, MO 65473. The listed phone number is (573) 596-0417.

What is Tate Pearson'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 Pearson was last updated on August 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.