Provider Demographics
NPI:1003926999
Name:TAYLOR, ARVIN ELLIS (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARVIN
Middle Name:ELLIS
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1950 W MORRIS BLVD
Mailing Address - Street 2:SUITE C
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37814-3760
Mailing Address - Country:US
Mailing Address - Phone:423-586-8144
Mailing Address - Fax:423-586-9289
Practice Address - Street 1:1950 W MORRIS BLVD
Practice Address - Street 2:SUITE C
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37814-3760
Practice Address - Country:US
Practice Address - Phone:423-586-8144
Practice Address - Fax:423-586-9289
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS0000001283122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist