DR. LARRY MILTON BLACK JR. DMD
NPI 1164558359
Dentist - General Practice in Quitman, GA

Q: What is Larry Black's NPI number?

The NPI number for Larry Black is 1164558359. It was assigned to this individual provider in the NPPES registry on February 24, 2007.

Q: What is Larry Black's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Larry Black was last updated on August 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 24, 2007

1306 E SCREVEN ST, QUITMAN, GA 31643(229) 263-8700(229) 263-4212 Get Directions Write a Review

NPPES record last updated: August 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Larry Milton Black Jr. Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LARRY MILTON BLACK JR. DMD (NPI 1164558359) is an individual general practice provider in Quitman, Georgia, licensed in Georgia (DN012932) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1164558359

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LARRY MILTON BLACK JR.Credential: DMD

Location Address1306 E SCREVEN STQuitman, GA 31643-2318

Mailing Address1306 E Screven StQuitman, GA 31643-2318 · (229) 263-8700 · Fax (229) 263-4212

Phone(229) 263-8700

Fax(229) 263-4212

Sole ProprietorYes

Enumeration DateFebruary 24, 2007

Last NPPES UpdateAugust 14, 2012

✔ NPI 1164558359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in GA · DN012932

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1306 E SCREVEN ST, Quitman, GA 31643

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Black's NPI number?

The NPI number for Larry Black is 1164558359. It was assigned to this individual provider in the NPPES registry on February 24, 2007.

Where is Larry Black located?

Larry Black practices at 1306 E Screven St, Quitman, GA 31643. The listed phone number is (229) 263-8700.

What is Larry Black's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Larry Black was last updated on August 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.