Provider Demographics
NPI:1952973810
Name:MICHELSON, TAYLOR ELIZABETH (DDS)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ELIZABETH
Last Name:MICHELSON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:TAYLOR
Other - Middle Name:ELIZABETH
Other - Last Name:RINDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:KLEBER KASERNE, MANNHEIMER STR. 3287
Mailing Address - Street 2:
Mailing Address - City:KAISERSLAUTERN
Mailing Address - State:GERMANY
Mailing Address - Zip Code:67657
Mailing Address - Country:DE
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:KLEBER KASERNE, MANNHEIMER STR. 3287
Practice Address - Street 2:
Practice Address - City:KAISERSLAUTERN
Practice Address - State:GERMANY
Practice Address - Zip Code:67657
Practice Address - Country:DE
Practice Address - Phone:314-590-2675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-12
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021019865122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist