Provider Demographics
NPI:1851608285
Name:TALBERT, WHITNEY MARIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:MARIE
Last Name:TALBERT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 N HILLS ST
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39305-2641
Mailing Address - Country:US
Mailing Address - Phone:601-485-4851
Mailing Address - Fax:601-693-5936
Practice Address - Street 1:2700 N HILLS ST
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39305-2641
Practice Address - Country:US
Practice Address - Phone:601-485-4851
Practice Address - Fax:601-693-5936
Is Sole Proprietor?:No
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS3561-101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice