Provider Demographics
NPI:1710993340
Name:TAYLOR, CHRISTOPHER THURMAN (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:THURMAN
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 1:2116 BRANDON PKWY
Mailing Address - Street 2:
Mailing Address - City:TUSCALOOSA
Mailing Address - State:AL
Mailing Address - Zip Code:35406-3500
Mailing Address - Country:US
Mailing Address - Phone:205-759-3271
Mailing Address - Fax:
Practice Address - Street 1:600 UNIVERSITY BLVD E
Practice Address - Street 2:SUITE B-3
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35401-2067
Practice Address - Country:US
Practice Address - Phone:205-759-3271
Practice Address - Fax:205-750-8152
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4882122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-76357OtherBCBS OF AL
AL954723OtherUNITED CONCORDIA