Provider Demographics
NPI:1780768457
Name:CARVER-TAYLOR, BELINDA ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:ANN
Last Name:CARVER-TAYLOR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 YOST PLACE
Mailing Address - Street 2:
Mailing Address - City:CAPITOL HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20743
Mailing Address - Country:US
Mailing Address - Phone:301-350-6933
Mailing Address - Fax:301-350-7228
Practice Address - Street 1:3060 MITCHELLVILLE RD STE 213
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3972
Practice Address - Country:US
Practice Address - Phone:301-350-6933
Practice Address - Fax:301-350-7228
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD86101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD356904700Medicaid
MD20683800OtherDENTAL BENEFIT PROVIDERS