Healthcare Provider Details

I. General information

NPI: 1194416180
Provider Name (Legal Business Name): CADEN PATE DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2023
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 S 4TH ST
GADSDEN AL
35901-5295
US

IV. Provider business mailing address

417 S 4TH ST
GADSDEN AL
35901-5295
US

V. Phone/Fax

Practice location:
  • Phone: 256-515-5560
  • Fax: 256-515-5561
Mailing address:
  • Phone: 256-515-5560
  • Fax: 256-515-5561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberD.007390-C1
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: