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TAYLOR LLOYD DODGEN NPI 1275952780


NPI Information

NPI: 1275952780
Provider Name: TAYLOR LLOYD DODGEN
Classification: Dermatology - 207N00000X
Entity Type: Individual
Organization: INTERCOASTAL MEDICAL GROUP INC

PECOS Registration: Yes

Address:
11715 RANGELAND PKWY
BRADENTON, FL
ZIP 34211
Phone: (941) 538-0022
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Taylor Lloyd Dodgen is a dermatology in Bradenton, FL with 10 years of experience. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. Taylor Lloyd Dodgen NPI is 1275952780. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2014

The provider's business location address is:

11715 RANGELAND PKWY
BRADENTON, FL
ZIP 34211
Phone: (941) 538-0022
Fax: (941) 538-0023

The NPI 1275952780 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/11/2014 and was last updated on 5/6/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207N00000XDermatologyME137069FLORIDAYes

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: 11/14/2023

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