Tara C. Pursely, DMD
Dentist in Marietta, GA. Individual provider (NPI-1).
NPI number1073891925
StatusActive
Last updated in NPPESJul 26, 2011
Details
- NPI
- 1073891925
- Entity type
- Individual (NPI-1)
- Name
- Tara C. Pursely
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2011
- Last updated
- Jul 26, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 3608-11 | MS | Yes |
Practice location
1090 Northchase Pkwy SeSuite 290
Marietta, GA 30067-6405
Phone 770-916-9526
Mailing address
3720 Hardy StSuite 23
Hattiesburg, MS 39402-1550
Phone 601-264-2779
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All 127 Dentist providers in Marietta · All 9,180 providers in Marietta
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