Talley, Philip K.
Talley, Philip K. is an individual health care provider with primary practice located at 2055 Beaver Ruin Rd Suite E, Norcross GA 30071-3607. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Talley, Philip K. can be contacted via phone (770) 242-0021.Contact Information
Primary practice address
2055 Beaver Ruin Rd Suite E
Norcross GA 30071-3607
Phone: (770) 242-0021
Fax: (770) 242-6016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 11970 | Georgia |
Profile Details
| NPI number | 1427018878 |
|---|---|
| LBN Legal business name | Talley, Philip K. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427018878 | NPPES |
| Georgia | MEDICAID | 00934601A |
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