Provider Demographics
NPI:1811558299
Name:POPE, TAYLOR (DMD)
Entity type:Individual
Prefix:DR
First Name:TAYLOR
Middle Name:
Last Name:POPE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3032 MOBLEYS BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GRIMESLAND
Mailing Address - State:NC
Mailing Address - Zip Code:27837-8994
Mailing Address - Country:US
Mailing Address - Phone:252-944-7530
Mailing Address - Fax:
Practice Address - Street 1:219 THIRD ST
Practice Address - Street 2:
Practice Address - City:AYDEN
Practice Address - State:NC
Practice Address - Zip Code:28513-2233
Practice Address - Country:US
Practice Address - Phone:252-746-2801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC114461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice