Healthcare Provider Details

I. General information

NPI: 1851608285
Provider Name (Legal Business Name): WHITNEY MARIE TALBERT D.M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/07/2010
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1488 HWY 487
SEBASTOPOL MS
39359-0150
US

IV. Provider business mailing address

1488 HWY 487
SEBASTOPOL MS
39359
US

V. Phone/Fax

Practice location:
  • Phone: 601-625-7403
  • Fax:
Mailing address:
  • Phone: 601-625-7403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number3561-10
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: