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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1427018878 NPPES
Georgia MEDICAID 00934601A

Popular Providers