Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164558359 Individual Practitioner Male Practitioner

Dr. Larry Milton Black , DMD

Dentist - General Practice • Quitman, GA

Professional Overview & Biography Verified Profile Summary

Dr. Larry Black, DMD is a registered healthcare professional specializing in Dentist - General Practice in Quitman, GA. Practice services are available at 1306 E SCREVEN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1306 E Screven St

Quitman, GA 316432318

Telephone 2292638700
Fax 2292634212
Associated Practice Facility / Clinic
🏢 Quitman Family Dentistry Llc Facility NPI 1639426836

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Quitman, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
1 Specialists

Practicing in Quitman, GA (3302 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN012932

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 14, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 14, 2012

Registered at 1306 E SCREVEN ST, QUITMAN, GA 316432318 (Tel: 2292638700)

📍
Updated Business Mailing Address August 14, 2012

Registered at 1306 E SCREVEN ST, QUITMAN, GA 316432318 (Tel: 2292638700)

👤
Provider Name / Credentials Updated August 14, 2012

Recorded as LARRY BLACK, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 14, 2012

Dentist (License #DN012932 in GA)

🟢
Initial NPI Registration & Enumeration February 24, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164558359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2007
Last Update: August 14, 2012
Sole Proprietor: Yes

Mailing Address

1306 E Screven St

Quitman, GA 316432318

Phone: 2292638700

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.