Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tate Montgomery, DDS

Individual provider Dentist · NPI 1255575502

Tate Montgomery, DDS is a Dentist in Edmond, Oklahoma. Licensed in California, Kansas and Oklahoma. Registered with an NPI since 2009.

Licensed in
CA, KS, OK
In the registry since
2009
Specialties on file
5
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

3824 S Blvd Ste 110
Edmond, OK 73013-5779
Phone: (918) 200-9610
Fax: (913) 904-1353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Anesthesiology (primary) Taxonomy 1223D0004X · Licence 6231 (OK)
Dentist Taxonomy 122300000X · Licence 6231 (OK)
Dentist Taxonomy 122300000X · Licence 58243 (CA)
Dentist Taxonomy 122300000X · Licence 60643 (KS)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1255575502
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 29, 2009
Last updated in NPPESApril 2, 2015
Mailing addressPo Box 30, Sapulpa, OK 74067-0030

Other providers in Edmond