Organization
DENTATE PLLC
Active
Other names
Oral & Facial Surgery Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY SCOTT TATE MD, DDS (OWNER)
(936) 569-1111
Entity
Organization
Contact information
Practice address
508 RUSSELL BLVD, NACOGDOCHES, TX 75965-1244
(936) 569-1111
(936) 564-0808
Mailing address
508 RUSSELL BLVD, NACOGDOCHES, TX 75965-1244
(936) 569-1111
(936) 564-0808
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
TX
Other
Enumeration date
03/15/2006
Last updated
08/20/2021
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