Organization
TATE DENTAL LLC
Active
Other names
Northside Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGGIE TATE MBA (BUSINEE MANAGER)
(614) 563-6542
Entity
Organization
Contact information
Practice address
5770 KARL RD STE 100, COLUMBUS, OH 43229-3658
(614) 846-8340
(614) 846-8345
Mailing address
5770 KARL RD STE 100, COLUMBUS, OH 43229-3658
(614) 846-8340
(614) 846-8345
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2025
Last updated
04/14/2025
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