AMANDA TINESHA TAYLOR DDS NPI 1053748228

NPI Information

  • NPI: 1053748228
  • Provider Name: AMANDA TINESHA TAYLOR, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 117 SAINT PATRICKS DR
    WALDORF, MD
    ZIP 20603
  • Phone: (301) 870-4553

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NPI Details

Amanda Tinesha Taylor, DDS is a general practice dentist in Waldorf, MD. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Amanda Tinesha Taylor, DDS NPI is 1053748228. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

117 SAINT PATRICKS DR
WALDORF, MD
ZIP 20603-574
Phone: (301) 870-4553

The enumeration date for this NPI number is 10/3/2013 and was last updated on 2/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice29790TEXASNo
21223G0001XDentistGeneral Practice0401416758VIRGINIANo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
41223G0001XDentistGeneral Practice17231MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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