Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tate Family Dentistry, PA

Organization General Practice Dentistry · NPI 1003811100

Tate Family Dentistry, PA provides General Practice Dentistry in Southlake, Texas. Licensed in Texas. Registered with an NPI since 2005.

Licensed in
TX
In the registry since
2005
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3101 E State Highway 114 Ste A
Southlake, TX 76092-6690 Not confirmed with CMS for 11 years — call before visiting
Phone: (817) 481-6364
Fax: (817) 329-2296
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence TX11540 (TX)

Record details

NPI number1003811100
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Tate — Secretary · (817) 481-6364
Other names John Michael Tate Dds Pa
NPI enumeratedJune 15, 2005
Last updated in NPPESDecember 15, 2014
Mailing address3101 E State Highway 114, Ste A, Southlake, TX 76092-6690

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