Provider Demographics
NPI:1750468989
Name:TAYLOR, WILLIAM JOHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JOHN
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 1:201 N CONSTITUTION DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-3200
Mailing Address - Country:US
Mailing Address - Phone:630-896-5073
Mailing Address - Fax:630-896-5320
Practice Address - Street 1:201 N CONSTITUTION DR
Practice Address - Street 2:SUITE E
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-3200
Practice Address - Country:US
Practice Address - Phone:630-896-5073
Practice Address - Fax:630-896-5320
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice