Provider Demographics
NPI:1114906450
Name:HOUSTON, JARED TAYLOR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JARED
Middle Name:TAYLOR
Last Name:HOUSTON
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 1:96 BILL HUGHES AVE
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:NC
Mailing Address - Zip Code:28906-3169
Mailing Address - Country:US
Mailing Address - Phone:828-837-3577
Mailing Address - Fax:
Practice Address - Street 1:96 BILL HUGHES AVE
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:NC
Practice Address - Zip Code:28906-3169
Practice Address - Country:US
Practice Address - Phone:828-837-3577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-14
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC125901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice