Doctor Name: | DR. JAY STEPHEN TAYLOR |
NPI Number: | 1205810801 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS, MS |
License Number: | 16796 |
Business Practice Address: | 559 Vincent St Attn: 21 Ds/sgda Peterson Afb, CO - 809141540 |
Business Phone Number: | 7195561603 |
Business Fax Number: | |
Mailing Address: | 559 Vincent St, Attn: 21 Ds/sgda PETERSON AFB |
State: | CO |
Postal Code: | 809141540 |
Phone Number: | 7195561603 |
Fax Number: | |
NPI Enumeration Date: | 12/06/2005 |
NPI Last Update Date: | 03/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0700X |
License Number: | 16796 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Prosthodontics |
Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |