Organization Active NPI

Talbot Dental Associates PC

  • Dentist
  • Ellijay, GA
National Provider Identifier
1962512780
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
011299 Issued in GA
Legal business name
TALBOT DENTAL ASSOCIATES PC
Practice address
78 River Terrace
Ellijay, GA 30540
Phone
(706) 635-5878
Fax
(706) 635-5879
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jo Lynn Long
Title
Off MGR
Phone
(706) 635-5878

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 011299 GA Primary

Addresses

Primary practice location

78 River Terrace
Ellijay, GA 30540

Mailing address

78 River Terrace
Ellijay, GA 30540
Phone (706) 635-5878

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962512780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 RIVER TERRACE",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "30540",
            "telephone_number": "706-635-5878",
            "fax_number": "706-635-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 RIVER TERRACE",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "30540",
            "telephone_number": "706-635-5878",
            "fax_number": "706-635-5879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALBOT DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JO",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFF MGR",
        "authorized_official_telephone_number": "706-635-5878"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "011299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.