Provider Demographics
NPI:1912570722
Name:TRIMMER, TAYLOR VAUGHN (DDS)
Entity Type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:VAUGHN
Last Name:TRIMMER
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 1:1212 SINGLETON BLVD APT 1100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75212-5313
Mailing Address - Country:US
Mailing Address - Phone:713-401-8577
Mailing Address - Fax:
Practice Address - Street 1:5009 W SUBLETT RD STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76017-1150
Practice Address - Country:US
Practice Address - Phone:719-221-9941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX375761223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice