| Tallent Cosmetic And Family Dentistry | |
|
108 Plaza Dr Albany KY 42602-1659 | |
| (606) 340-0740 | |
| Not Available |
| Full Name | Tallent Cosmetic And Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 108 Plaza Dr, Albany, Kentucky |
| Authorized Official Name and Position | Steven M Tallent (OWNER) |
| Authorized Official Contact | 6063400740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallent Cosmetic And Family Dentistry 108 Plaza Dr Albany KY 42602-1659 Ph: (606) 340-0740 | Tallent Cosmetic And Family Dentistry 108 Plaza Dr Albany KY 42602-1659 Ph: (606) 340-0740 |
| NPI Number | 1205190733 |
|---|---|
| Provider Enumeration Date | 06/29/2012 |
| Last Update Date | 09/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205190733 | NPI | - | NPPES |
| 60002227 | Medicaid | KY | |
| 60003415 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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