Dentate PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

DENTATE PLLC

Doing business as

Oral & Facial Surgery Group

Practice address

508 Russell Blvd
Nacogdoches, TX 75965-1244

Phone

(936) 569-1111

Fax

(936) 564-0808

NPI assigned

Mar 15, 2006

Last updated

Aug 20, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gregory Scott Tate, MD, DDS

Title

Owner

Phone

(936) 569-1111

Specialties & licenses 1

Addresses

Other names 1

• Oral & Facial Surgery Group Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea Michelle McPhillips, DDS; MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Stephenville, TX
  • NPI 1114188729
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629417600000",
    "number": "1487623104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651244",
            "telephone_number": "936-569-1111",
            "fax_number": "936-564-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 RUSSELL BLVD",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651244",
            "telephone_number": "936-569-1111",
            "fax_number": "936-564-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTATE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-15",
        "last_updated": "2021-08-20",
        "certification_date": "2021-08-20",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-569-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral & Facial Surgery Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cesar Delaguila, M.D.
• Maria L Deleon, MD
• Alex Demotte
• Dennis W Coffman M D (Physicians Clinical Lab)
• Dennis W Coffman M.D.
• Hannah Grubb Deppisch, M.D.
• Diagnostic Dental Center PLLC
• Dialysis Clinic Inc.
• Steven Charles Dickhaut, M.D.
• Geneva Diosdado

• Oral and Maxillofacial Surgery (Dentist) in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.