Provider Demographics
NPI:1629184288
Name:TAYLOR, RYAN CHRISTOPHER (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:RYAN
Middle Name:CHRISTOPHER
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2820 CLARK RD
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-6220
Mailing Address - Country:US
Mailing Address - Phone:941-926-4800
Mailing Address - Fax:941-926-4880
Practice Address - Street 1:2820 CLARK RD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-6220
Practice Address - Country:US
Practice Address - Phone:941-926-4800
Practice Address - Fax:941-926-4880
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN#164571223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics