Individual
CAROL TALBOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1611 LURLYN DR STE A, POPLAR BLUFF, MO 63901-2763
(573) 778-0200
(573) 778-0214
Mailing address
1611 LURLYN DR STE A, POPLAR BLUFF, MO 63901-2763
(573) 778-0200
(573) 778-0214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014776
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
402435226
—
MO
Enumeration date
08/25/2006
Last updated
07/15/2011
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