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QUITMAN FAMILY DENTISTRY LLC
NPI 1639426836
Clinic/Center - Dental in Quitman, GA

Active since August 07, 2012
1306 E. SCREVEN STREET, QUITMAN, GA 31634(229) 263-8700 Get Directions Write a Review

NPPES record last updated: August 7, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Quitman Family Dentistry Llc NPPES

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

QUITMAN FAMILY DENTISTRY LLC (NPI 1639426836) is a healthcare organization registered as a dental in Quitman, Georgia and active in the NPI registry since August 2012. The organization lists Larry M Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1639426836
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameQUITMAN FAMILY DENTISTRY LLC
Location Address1306 E. SCREVEN STREETQuitman, GA 31634
Mailing Address1306 E. Screven StreetQuitman, GA 31634 · (229) 263-8700
Phone(229) 263-8700
Organization SubpartNo
Authorized OfficialLarry M BlackOwner · (229) 263-8700
Enumeration DateAugust 7, 2012
✔ NPI 1639426836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Licenses✔ Licensed in GA · DN012932✔ Licensed in GA · DNSC000233
1306 E. SCREVEN STREET, Quitman, GA 31634
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Other Identifiers 1

Medicaid003124373AGA

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 Quitman Family Dentistry LLC's NPI number?

The NPI number for Quitman Family Dentistry LLC is 1639426836. It was assigned to this organization in the NPPES registry on August 7, 2012.

Where is Quitman Family Dentistry LLC located?

Quitman Family Dentistry LLC is located at 1306 E. Screven Street, Quitman, GA 31634. The listed phone number is (229) 263-8700.

What is Quitman Family Dentistry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Quitman Family Dentistry LLC was last updated on August 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.