Nathaniel W Talley, DDS
Dentist in Elk City, OK. Individual provider (NPI-1).
NPI number1982804126
StatusActive
Last updated in NPPESJun 25, 2024
Details
- NPI
- 1982804126
- Entity type
- Individual (NPI-1)
- Name
- Nathaniel W Talley
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2007
- Certification date
- Jun 25, 2024
- Last updated
- Jun 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 5964 | OK | Yes |
Practice location
300 N GarrettElk City, OK 73644
Phone 580-225-1020
Mailing address
300 N Garrett StElk City, OK 73644
Phone 580-225-1020
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