Individual provider · Type 1 NPI
Larry Milton Black Jr., DMD
General Practice Dentistry · Quitman, GA
NPI number
1164558359
Active
Practice location
1306 E Screven St
Quitman, GA 31643-2318
Fax (229) 263-4212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DN012932 (GA) |
General Practice Dentistry: 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.
About NPI 1164558359
Larry Milton Black Jr., DMD's National Provider Identifier is 1164558359, issued on Feb 24, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Quitman, GA. The record was last updated on Aug 14, 2012.