Provider Demographics
NPI:1598977472
Name:TAYLOR, ADAM CHRISTIAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:CHRISTIAN
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 COZZENS CT
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-1857
Mailing Address - Country:US
Mailing Address - Phone:732-967-1898
Mailing Address - Fax:732-727-9647
Practice Address - Street 1:SAYREVILLE PLAZA
Practice Address - Street 2:960 ROUTE 9 SOUTH
Practice Address - City:SOUTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08879
Practice Address - Country:US
Practice Address - Phone:732-727-3399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ023098001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice