Provider Demographics
NPI:1245488873
Name:TAYLOR, STEPHEN B (DMD)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:B
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10551 MILLS RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4601
Mailing Address - Country:US
Mailing Address - Phone:281-469-7469
Mailing Address - Fax:281-894-6189
Practice Address - Street 1:10551 MILLS RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4601
Practice Address - Country:US
Practice Address - Phone:281-469-7469
Practice Address - Fax:281-894-6189
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23773122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist