Provider Demographics
NPI:1871635219
Name:TAYLOR, RITA J (DDS)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:J
Last Name:TAYLOR
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 1:3464 N SELIDA ST STE A
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80011
Mailing Address - Country:US
Mailing Address - Phone:303-307-9999
Mailing Address - Fax:303-307-9992
Practice Address - Street 1:3464 N SELIDA ST STE A
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011
Practice Address - Country:US
Practice Address - Phone:303-307-9999
Practice Address - Fax:303-307-9992
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00202100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CODEN.00202100OtherCO DENTAL LICENSE
CO1871635219Medicaid