Provider Demographics
NPI:1982073441
Name:TAYLOR, JOHN HAMPTON (DMD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HAMPTON
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DMD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1230 JOHNSON FERRY RD
Mailing Address - Street 2:SUITE I-10
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-2048
Mailing Address - Country:US
Mailing Address - Phone:770-973-7687
Mailing Address - Fax:770-977-8296
Practice Address - Street 1:1230 JOHNSON FERRY RD
Practice Address - Street 2:SUITE I-10
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-2048
Practice Address - Country:US
Practice Address - Phone:770-973-7687
Practice Address - Fax:770-977-8296
Is Sole Proprietor?:No
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0096631223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry