Provider Demographics
NPI:1558681601
Name:TAIYM, NAVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:NAVEN
Middle Name:
Last Name:TAIYM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11157 CEDAR PARK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-4437
Mailing Address - Country:US
Mailing Address - Phone:210-677-9165
Mailing Address - Fax:
Practice Address - Street 1:11157 CEDAR PARK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-4437
Practice Address - Country:US
Practice Address - Phone:210-677-9165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25463122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist