Provider Demographics
NPI:1669677647
Name:NAYLOR, PAUL ROY (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:ROY
Last Name:NAYLOR
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 1:3491 W 4800 S
Mailing Address - Street 2:
Mailing Address - City:ROY
Mailing Address - State:UT
Mailing Address - Zip Code:84067-9429
Mailing Address - Country:US
Mailing Address - Phone:801-825-5200
Mailing Address - Fax:801-825-4125
Practice Address - Street 1:3491 W 4800 S
Practice Address - Street 2:
Practice Address - City:ROY
Practice Address - State:UT
Practice Address - Zip Code:84067-9429
Practice Address - Country:US
Practice Address - Phone:801-825-5200
Practice Address - Fax:801-825-4125
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT143533-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice