Provider Demographics
NPI:1902005994
Name:DAVID M. TAYLOR, DDS, INC.
Entity Type:Organization
Organization Name:DAVID M. TAYLOR, DDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DDS/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-377-4551
Mailing Address - Street 1:601 SILVER SPUR RD
Mailing Address - Street 2:
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-3601
Mailing Address - Country:US
Mailing Address - Phone:310-377-4551
Mailing Address - Fax:310-541-6042
Practice Address - Street 1:601 SILVER SPUR RD
Practice Address - Street 2:
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-3601
Practice Address - Country:US
Practice Address - Phone:310-377-4551
Practice Address - Fax:310-541-6042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA233891223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty