Provider Demographics
NPI:1336174846
Name:CATON & TAYLOR PA
Entity Type:Organization
Organization Name:CATON & TAYLOR PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:N
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:JR
Authorized Official - Credentials:DMD MD
Authorized Official - Phone:352-378-2525
Mailing Address - Street 1:2121 NW 40TH TERRACE
Mailing Address - Street 2:STE C
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605
Mailing Address - Country:US
Mailing Address - Phone:352-378-2525
Mailing Address - Fax:352-377-9772
Practice Address - Street 1:2121 NW 40TH TERRACE
Practice Address - Street 2:STE C
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605
Practice Address - Country:US
Practice Address - Phone:352-378-2525
Practice Address - Fax:352-377-9772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN42701223S0112X
FLDM131871223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty