Doctor Name: | DR. JOHN WILLIAM TAYLOR |
NPI Number: | 1508178898 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | |
Business Practice Address: | 4540 E. Baseline Rd Suite 102 Mesa, AZ - 85206 |
Business Phone Number: | 4808305466 |
Business Fax Number: | 4808305577 |
Mailing Address: | 4540 E. Baseline Rd., Suite 102 MESA |
State: | AZ |
Postal Code: | 85206 |
Phone Number: | 4808305466 |
Fax Number: | 4808305577 |
NPI Enumeration Date: | 07/02/2010 |
NPI Last Update Date: | 09/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |