P Praxis·MD
● Active Type 1 · Individual

Jaquita Larshe Tate

Dental Assistant·Ft. Stewart, GA· NPI 1124470695 · Enumerated 2016 · 9 years on NPI
Tate is 1 of 2 dental assistant providers in Ft. Stewart and 1 of 91 in Georgia.
NPI age
9 years
Enumerated 2016-07-08
Primary specialty
Dental Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 91 active dental assistant providers in Georgia.

NPI age
9 years
≈ at median (9 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-07Enumerated in NPPES
2016 2026

Where they practice

Practice location
305 Vanguard Rd
Ft. Stewart, GA 31314
📞 9124355705
Mailing address
305 Vanguard Rd
Ft. Stewart, GA 31314

Specialties

  • Dental Assistant Primary
    An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient...
    taxonomy 126800000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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