Provider Demographics
NPI:1740332816
Name:PATRICIA L TAYLOR AND MARCIA F GILBERT
Entity type:Organization
Organization Name:PATRICIA L TAYLOR AND MARCIA F GILBERT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:PC
Authorized Official - Phone:301-589-1044
Mailing Address - Street 1:8630 FENTON STREET
Mailing Address - Street 2:SUITE 710
Mailing Address - City:SILVER SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20910
Mailing Address - Country:US
Mailing Address - Phone:301-589-1044
Mailing Address - Fax:301-589-1104
Practice Address - Street 1:8630 FENTON STREET
Practice Address - Street 2:SUITE 710
Practice Address - City:SILVER SPRINGS
Practice Address - State:MD
Practice Address - Zip Code:20910
Practice Address - Country:US
Practice Address - Phone:301-589-1044
Practice Address - Fax:301-589-1104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06829122300000X
MD12079122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty