Provider Demographics
NPI:1386638450
Name:TAYLOR, PHILIP E (DDS)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:E
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 1:911 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1421
Mailing Address - Country:US
Mailing Address - Phone:336-373-9988
Mailing Address - Fax:336-373-0024
Practice Address - Street 1:911 CHERRY ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1421
Practice Address - Country:US
Practice Address - Phone:336-373-9988
Practice Address - Fax:336-373-0024
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC48681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice