Provider Demographics
NPI:1508846395
Name:TAYLOR, ANDREW P (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:P
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6601 N DAVIS HWY STE 8
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6210
Mailing Address - Country:US
Mailing Address - Phone:850-478-8005
Mailing Address - Fax:850-478-6871
Practice Address - Street 1:6601 N DAVIS HWY STE 8
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6210
Practice Address - Country:US
Practice Address - Phone:850-478-8005
Practice Address - Fax:850-478-6871
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-19
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN17839332B00000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies