Provider Demographics
NPI:1376622571
Name:TAYLOR, TIMOTHY STEPHENS (DDS)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:STEPHENS
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 1:2040 S ALMA SCHOOL RD
Mailing Address - Street 2:21
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-2075
Mailing Address - Country:US
Mailing Address - Phone:480-814-1333
Mailing Address - Fax:
Practice Address - Street 1:2040 S ALMA SCHOOL RD
Practice Address - Street 2:21
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85248-2075
Practice Address - Country:US
Practice Address - Phone:480-814-1333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD44741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice