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Search › Georgia › General Practice Dentistry

Larry Black, DMD

NPI 1164558359 · on the registry since 2007 · sole proprietor

Practice

Address
1306 E Screven St
Quitman, GA 31643
Phone
(229) 263-8700
Fax
(229) 263-4212
Organisation at this address
Quitman Family Dentistry Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
General Practice Dentistry
1223G0001X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia