NPI 1639426836 QUITMAN FAMILY DENTISTRY LLC QUITMAN GA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Quitman Family Dentistry Llc - NPI: 1639426836

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Organization Name: QUITMAN FAMILY DENTISTRY LLC
NPI Number: 1639426836
Entity Type Code: Organizational (2)
Authorized Official Name: LARRY M BLACK
(OWNER)
Mailing Address: 1306 E. Screven Street
Quitman
State: GA US
Postal Code: 31634
Phone Number: 2292638700
Fax Number:
NPI Enumeration Date: 08/07/2012
NPI Last Update Date: 08/07/2012
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 261QD0000X
License Number: DNSC000233
Healthcare Provider Taxonomy:
(Secondary)
N
State: GA
Taxonomy Type: Ambulatory Health Care Facilities
Taxonomy Classification: Clinic/Center
Taxonomy Specialization: Dental
Taxonomy Definition:


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