Organization
TALLENT COSMETIC AND FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN M TALLENT II D.M.D (OWNER)
(606) 340-0740
Entity
Organization
Contact information
Practice address
108 PLAZA DR, ALBANY, KY 42602-1659
(606) 340-0740
Mailing address
108 PLAZA DR, ALBANY, KY 42602-1659
(606) 340-0740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60002227
—
KY
05
—
60003415
—
KY
Enumeration date
06/29/2012
Last updated
09/17/2012
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