Provider Demographics
NPI:1376618462
Name:TAYLOR, JOHN KING III (DDS)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:KING
Last Name:TAYLOR
Suffix:III
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 1:1023 N CHARLES STREET
Mailing Address - Street 2:SUITE R3L
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201
Mailing Address - Country:US
Mailing Address - Phone:410-347-2995
Mailing Address - Fax:410-659-1996
Practice Address - Street 1:1023 N CHARLES STREET
Practice Address - Street 2:SUITE R3L
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201
Practice Address - Country:US
Practice Address - Phone:410-347-2995
Practice Address - Fax:410-659-1996
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD64531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice