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Dr. Larry Milton Black JR., DMD
General Practice Dentistry in Quitman, Georgia
NPI 1164558359

Larry Milton Black JR. is a General Practice Dentistry based in Quitman, GA and is specialized in General Practice. Larry Milton Black JR. practices in Quitman, GA and has the professional credentials of DMD. The NPI Number for Larry Milton Black JR. is 1164558359 and holds a License No. DN012932 (Georgia).

The current practice location address for Larry Milton Black JR. is 1306 E Screven St, Quitman, GA and can be reached out via phone at 229-263-8700 and via fax at 229-263-4212.

Location: 1306 E Screven St, Quitman, GA, 31643-2318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164558359
Provider Name
Larry Milton Black JR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1306 E Screven St, Quitman, GA, 31643-2318
Phone Number
229-263-8700
Fax Number
229-263-4212
Provider Enumeration Date
02/24/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1306 E Screven St
City
Quitman
State
Georgia
Zip
31643-2318
Phone Number
229-263-8700
Fax Number
229-263-4212
person
Provider Business Mailing Address Details
Address
1306 E Screven St
City
Quitman
State
Georgia
Zip
31643-2318
Phone Number
229-263-8700
Fax Number
229-263-4212
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
DN012932 (Georgia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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