Provider Demographics
NPI:1811097942
Name:TAYLOR, ELIN MARIE (R,D,H)
Entity type:Individual
Prefix:MRS
First Name:ELIN
Middle Name:MARIE
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:R,D,H
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:US ARMY HOSPITAL HDENTAC CREDENTIALS OFFICE
Mailing Address - Street 2:KARLSRUESTR 144 NACHRICHTEN KASERNE BLDG 3607
Mailing Address - City:HEIDELBERG
Mailing Address - State:BADEN WURTEMBOURG
Mailing Address - Zip Code:69126
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:US ARMY HOSPITAL HDENTAC CREDENTIALS OFFICE
Practice Address - Street 2:KARLSRUHESTR 144 NACHRICHTEN KASERNE BLDG 3607
Practice Address - City:HEIDELBERG
Practice Address - State:BADEN WURTEMBOURG
Practice Address - Zip Code:69126
Practice Address - Country:DE
Practice Address - Phone:01149621-730-4545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDH 16480124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist