PHILLIP R PATE DDS
NPI 1780756122
Dentist - Pediatric Dentistry in Kokomo, IN

Active since November 14, 2006
2705 S BERKLEY, BUILDING 2 SUITE B, KOKOMO, IN 46902(765) 453-2267(765) 453-1150 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phillip R Pate Dds NPPES

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

PHILLIP R PATE DDS (NPI 1780756122) is an individual pediatric dentistry provider in Kokomo, Indiana, licensed in Indiana (6519) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1780756122
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NamePHILLIP R PATECredential: DDS
Location Address2705 S BERKLEY, BUILDING 2 SUITE BKokomo, IN 46902-8007
Mailing Address2705 S Berkley, Building 2 Suite BKokomo, IN 46902-8007 · (765) 453-2267 · Fax (765) 453-1150
Fax(765) 453-1150
Sole ProprietorNo
Enumeration DateNovember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1780756122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in IN · 6519
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2705 S BERKLEY, Kokomo, IN 46902

Other Identifiers 1

Other6519IN · Dental License

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 (Orthodontics and Dentofacial Orthopedics)
2705 S BERKLEY, BUILDING 2 SUITE B
KOKOMO, IN 46902
Dentist (Pediatric Dentistry)
2705 S BERKLEY, BUILDING 2 SUITE B
KOKOMO, IN 46902

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 Phillip Pate's NPI number?

The NPI number for Phillip Pate is 1780756122. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Phillip Pate located?

Phillip Pate practices at 2705 S Berkley Building 2 Suite B, Kokomo, IN 46902. The listed phone number is (765) 453-2267.

What is Phillip Pate's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Phillip Pate was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.