Provider Demographics
NPI:1932711850
Name:MORGAN B. TAYLOR, D.M.D., LLC
Entity Type:Organization
Organization Name:MORGAN B. TAYLOR, D.M.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:B
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:256-508-5971
Mailing Address - Street 1:107 MECCA AVE
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:35209-3457
Mailing Address - Country:US
Mailing Address - Phone:256-508-5971
Mailing Address - Fax:
Practice Address - Street 1:3284 MORGAN DR STE 104
Practice Address - Street 2:
Practice Address - City:VESTAVIA HILLS
Practice Address - State:AL
Practice Address - Zip Code:35216-3086
Practice Address - Country:US
Practice Address - Phone:205-822-7224
Practice Address - Fax:205-822-7238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-21
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental