Provider Demographics
NPI:1619901980
Name:TAYLOR, ROBERT BRAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRAY
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 1:131 MCDOWELL ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4453
Mailing Address - Country:US
Mailing Address - Phone:828-254-4602
Mailing Address - Fax:828-254-2525
Practice Address - Street 1:131 MCDOWELL ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4453
Practice Address - Country:US
Practice Address - Phone:828-254-4602
Practice Address - Fax:828-254-2525
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1037601223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8998314Medicaid