Individual
DR. REBECCA SUE TATE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
160 SOLTERRA WAY, DURHAM, NC 27705-7314
(919) 402-8660
Mailing address
PO BOX 3000, BUTNER, NC 27509-3000
(919) 575-1160
(919) 575-1167
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5425
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8998258
—
NC
Enumeration date
04/04/2006
Last updated
12/03/2015
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