Tallent Cosmetic And Family Dentistry | |
108 Plaza Dr Albany KY 42602-1659 | |
(606) 340-0740 | |
Not Available |
Full Name | Tallent Cosmetic And Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 108 Plaza Dr, Albany, Kentucky |
Authorized Official Name and Position | Steven M Tallent (OWNER) |
Authorized Official Contact | 6063400740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tallent Cosmetic And Family Dentistry 108 Plaza Dr Albany KY 42602-1659 Ph: (606) 340-0740 | Tallent Cosmetic And Family Dentistry 108 Plaza Dr Albany KY 42602-1659 Ph: (606) 340-0740 |
NPI Number | 1205190733 |
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Provider Enumeration Date | 06/29/2012 |
Last Update Date | 09/17/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205190733 | NPI | - | NPPES |
60002227 | Medicaid | KY | |
60003415 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |