Provider Demographics
NPI:1891950622
Name:TAYLOR, LAUREL ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAUREL
Middle Name:ELIZABETH
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 1:1410 PLAZA WEST RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-1401
Mailing Address - Country:US
Mailing Address - Phone:336-765-1881
Mailing Address - Fax:336-765-3205
Practice Address - Street 1:1410 PLAZA WEST RD
Practice Address - Street 2:
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-1401
Practice Address - Country:US
Practice Address - Phone:336-765-1881
Practice Address - Fax:336-765-3205
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC85471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice