Provider Demographics
NPI:1154640589
Name:WEBSTER-TAYLOR, OSYRIA OLIMPIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:OSYRIA
Middle Name:OLIMPIA
Last Name:WEBSTER-TAYLOR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 BARTON AVE
Mailing Address - Street 2:
Mailing Address - City:LULING
Mailing Address - State:LA
Mailing Address - Zip Code:70070-5055
Mailing Address - Country:US
Mailing Address - Phone:985-308-0358
Mailing Address - Fax:
Practice Address - Street 1:226 BARTON AVE
Practice Address - Street 2:
Practice Address - City:LULING
Practice Address - State:LA
Practice Address - Zip Code:70070-5055
Practice Address - Country:US
Practice Address - Phone:985-308-0358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-25
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program