Organization
HOBART FAMILY DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL WILLIAM TALLEY DDS (DENTIST/OWNER)
(580) 726-2020
Entity
Organization
Contact information
Practice address
110 S. BROADWAY, HOBART, OK 73651
(580) 726-2020
(580) 726-5669
Mailing address
110 S BROADWAY, HOBART, OK 73651-1819
(580) 726-2020
(580) 726-5669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5964
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440805204
GENERAL DENTIST
OK
Enumeration date
07/07/2017
Last updated
06/25/2024
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