Organization
TALBOT DENTAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO LYNN LONG (OFF MGR)
(706) 635-5878
Entity
Organization
Contact information
Practice address
78 RIVER TERRACE, ELLIJAY, GA 30540
(706) 635-5878
(706) 635-5879
Mailing address
78 RIVER TERRACE, ELLIJAY, GA 30540
(706) 635-5878
(706) 635-5879
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
011299
GA
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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