Larry Milton Black Jr., DMD
General Practice Dentistry · Quitman, GA
Practice location
1306 E Screven StQuitman, GA 31643-2318
- Phone
- (229) 263-8700
- Fax
- (229) 263-4212
NPI record
- NPI
- 1164558359
- Entity type
- Individual (Type 1)
- Enumeration date
- February 24, 2007
- Last updated
- August 14, 2012
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DN012932 | GA |
About Dr. Black
Larry Milton Black Jr., DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1306 E Screven St, Quitman, GA 31643-2318. The NPI number 1164558359 was assigned on February 24, 2007 and the record was last updated on August 14, 2012.
Dr. Black lists a license in the registry: #DN012932 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Larry Milton Black Jr., DMD?
The NPI number is 1164558359.
What is the phone number of Dr. Black?
The phone number listed for the practice location is (229) 263-8700.
Where is Dr. Black located?
1306 E Screven St, Quitman, GA 31643-2318.
What is the taxonomy code for Dr. Black?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.