Provider Demographics
NPI:1164693958
Name:TAYLOR, DAVID ALAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALAN
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 1:3301 N K CTR
Mailing Address - Street 2:# C101
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-1528
Mailing Address - Country:US
Mailing Address - Phone:956-630-6166
Mailing Address - Fax:
Practice Address - Street 1:1400 E EXPRESSWAY 83
Practice Address - Street 2:STE 155
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1662
Practice Address - Country:US
Practice Address - Phone:956-630-6166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-19
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX237671223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics