Provider Demographics
NPI:1023397023
Name:TAYLOR, LINCOLN BOYD (DDS)
Entity Type:Individual
Prefix:DR
First Name:LINCOLN
Middle Name:BOYD
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:7250 REDBUG LAKE ROAD
Mailing Address - Street 2:SUITE 1024
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765
Mailing Address - Country:US
Mailing Address - Phone:407-977-8884
Mailing Address - Fax:407-977-8494
Practice Address - Street 1:7250 REDBUG LAKE ROAD
Practice Address - Street 2:SUITE 1024
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765
Practice Address - Country:US
Practice Address - Phone:407-977-8884
Practice Address - Fax:407-977-8494
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLDN00133591223P0221X
MD111941223P0221X
TN00070701223P0221X
GA0114611223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry