Individual
THOMAS WILLIAM TALBERT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1707 BERNARDIN AVE, COLUMBIA, SC 29204-2004
(803) 254-5764
Mailing address
1707 BERNARDIN AVE, COLUMBIA, SC 29204-2004
(803) 254-5764
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2001
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z2001-3
—
SC
Enumeration date
11/28/2006
Last updated
03/07/2023
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