Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1609004746 Deactivated / Inactive NPI Female Practitioner

Dr. Andrea M. Talley , DDS

Dentist • Atmore, AL

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Andrea Talley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 28, 2009
NPI Deactivation Date August 13, 2024
Total Practice Duration ~15 Years of Practice (2009 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Andrea Talley, DDS was a registered Dentist practicing in Atmore, AL. Throughout an active medical career spanning 15 years, Dr. Talley provided care at the practice location at 429 BUFORD L ROLIN DR until profile deactivation on 2024-08-13.

Practice Location & Contact Primary Location

Practice Address

429 Buford L Rolin Dr

Atmore, AL 365025190

Telephone 2513689136
Fax 2513682944
Associated Practice Facility / Clinic
🏢 Poarch Band Of Creek Indians Facility NPI 1902916489

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Atmore, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Atmore, AL (894 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AL D.007263-C

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License CO 000202459

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License LA 6106

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Haley Rolin , BSN, RN, CDCES, CCM

Registered Nurse - Diabetes Educator

NPI 1033814892

Bachelor of Science in Nursing, Registered Nurse, Certified Diabetes Care and Education Specialist, CCM

NPI 1063557585

Doctor of Pharmacy (Pharm.D.)

Tabitha Hendrick

Speech-Language Pathologist

NPI 1144101585
Dr. Blaine Crum , PhD

Psychologist - Clinical

NPI 1184884306

Doctor of Philosophy (Ph.D.)

Brittany Martin

Physical Therapist

NPI 1295974681
Caitlyn Jackson , RBT

Behavior Technician

NPI 1316702897

Registered Behavior Technician

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
📍
Updated Practice Location September 30, 2024

Registered at 429 BUFORD L ROLIN DR, ATMORE, AL 365025190 (Tel: 2513689136)

📍
Updated Business Mailing Address September 30, 2024

Registered at 5811 JACK SPRINGS RD, ATMORE, AL 365025025 (Tel: 2513689136)

👤
Provider Name / Credentials Updated September 30, 2024

Recorded as ANDREA TALLEY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2024

Dentist (License #000202459 in CO)

⚠️
NPI Profile Deactivated August 13, 2024

Record deactivated on August 13, 2024

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2022

Dentist (License #000202459 in CO)

NPI Profile Active August 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2016

Registered at 109 CAPOTE DR, IGNACIO, CO 811370899 (Tel: 9705634719)

📍
Updated Business Mailing Address August 26, 2016

Registered at 109 CAPOTE DR, IGNACIO, CO 811370899 (Tel: 9705634719)

👤
Provider Name / Credentials Updated August 26, 2016

Recorded as ANDREA TALLEY, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2016

Dentist (License #6106 in LA)

🟢
Initial NPI Registration & Enumeration June 28, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Andrea Talley. Be the first to share your experience!

Sign in to leave a review for Dr. Andrea Talley

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1609004746
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 28, 2009
Last Update: September 30, 2024
Deactivation Date: August 13, 2024
Sole Proprietor: No

Mailing Address

5811 Jack Springs Rd

Atmore, AL 365025025

Phone: 2513689136

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.