Provider Demographics
NPI:1871248849
Name:MCELWEE, TAYLOR MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:MARIE
Last Name:MCELWEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 N 7TH ST APT 445
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18101-1373
Mailing Address - Country:US
Mailing Address - Phone:610-246-9782
Mailing Address - Fax:
Practice Address - Street 1:105 KELLY WAY
Practice Address - Street 2:
Practice Address - City:HORTONVILLE
Practice Address - State:WI
Practice Address - Zip Code:54944-8755
Practice Address - Country:US
Practice Address - Phone:920-779-4982
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1002745-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist