Provider Demographics
NPI:1437190758
Name:TAYLOR, DELANEY HARPER (DDS)
Entity Type:Individual
Prefix:DR
First Name:DELANEY
Middle Name:HARPER
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:DELANEY
Other - Middle Name:HARPER
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:120 OAKMONT DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5936
Mailing Address - Country:US
Mailing Address - Phone:252-756-7789
Mailing Address - Fax:
Practice Address - Street 1:120 OAKMONT DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5936
Practice Address - Country:US
Practice Address - Phone:252-756-7789
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC37251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice