Provider Demographics
NPI:1275547408
Name:TAYLOR, WILLIAM BEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:BEN
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:BEN
Other - Middle Name:
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:6756 POSS RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-2258
Mailing Address - Country:US
Mailing Address - Phone:210-680-7841
Mailing Address - Fax:210-680-3503
Practice Address - Street 1:6756 POSS RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-2258
Practice Address - Country:US
Practice Address - Phone:210-680-7841
Practice Address - Fax:210-680-3503
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX153721223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX111279902Medicaid