# EDWARD F. TATE D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558559948
- **Authorized official:** DR. EDWARD F TATE D.D.S. (OWNER/PRESIDENT)
- **Authorized official phone:** (314) 830-9400

## Contact information

- **Practice address:** 333 S KIRKWOOD RD, STE 105, KIRKWOOD, MO 63122-6161
- **Practice address phone:** (314) 909-9200
- **Practice address fax:** (314) 909-9212
- **Mailing address:** 333 S KIRKWOOD RD, STE 105, KIRKWOOD, MO 63122-6161
- **Mailing address phone:** (314) 909-9200
- **Mailing address fax:** (314) 909-9212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 011124 | MO | Yes |

## Other

- **Enumeration date:** 10/10/2007
- **Last updated:** 07/23/2013