Tate Family Dentistry, Pa is a Dental Clinic in Southlake, Texas. It is located at 3101 E State Highway 114, Ste A, Southlake, TX and its contact number is 817-481-6364. The authorized person for Tate Family Dentistry, Pa is Dr. John Tyler Tate
who is Secretary of the clinic and their contact number is 817-481-6364. The primary license number for Tate Family Dentistry, Pa is TX11540 (General Practice) in Texas.
Tate Family Dentistry, Pa Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Tate Family Dentistry, Pa Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Tate Family Dentistry, Pa |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 3101 E State Highway 114, Ste A, Southlake,
Texas, 76092-6690 |
| Phone: | 817-481-6364 |
| Fax: | 817-329-2296 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. John Tyler Tate |
| Position: | Secretary |
| Contact Number: | 817-481-6364 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Tate Family Dentistry, Pa clinic are as mentioned below.
| NPI Number: | 1003811100 |
| NPI Enumeration Date: | 15 Jun, 2005 |
| NPI Last Update On: | 15 Dec, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tate Family Dentistry, Pa are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | TX11540 | Texas | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| TX26565 | Other | Texas | Dental License Number |
| TX11540 | Other | Texas | Dental License Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tate Family Dentistry, Pa
3101 E State Highway 114, Ste A
Southlake, Texas |
| Zip: | 76092-6690 |
| Phone Number: | 817-481-6364 |
| Fax Number: | 817-329-2296 |
Patients can reach Tate Family Dentistry, Pa at
3101 E State Highway 114, Ste A, Southlake, Texas or can
call to book an appointment on 817-481-6364.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.