Provider Demographics
NPI:1134535875
Name:MERCKE, TAYLOR MCGRAW (DMD)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:MCGRAW
Last Name:MERCKE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5710 N DAVIS HWY
Mailing Address - Street 2:UNIT ONE
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2088
Mailing Address - Country:US
Mailing Address - Phone:850-505-0500
Mailing Address - Fax:
Practice Address - Street 1:5710 N DAVIS HWY
Practice Address - Street 2:UNIT ONE
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2088
Practice Address - Country:US
Practice Address - Phone:850-505-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20726122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist