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GLENN N TAYLOR JR DMD MD PA NPI 1821127549


NPI Information

NPI: 1821127549
Provider Name: GLENN N TAYLOR JR DMD MD PA
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1947 CITRONA DRIVE
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 261-6068
Get Directions

GLENN N TAYLOR JR DMD MD PA is an oral and maxillofacial surgery dentist in Fernandina Beach, FL. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. GLENN N TAYLOR JR DMD MD PA NPI is 1821127549. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1947 CITRONA DRIVE
FERNANDINA BEACH, FL
ZIP 32034
Phone: (904) 261-6068
Fax: (904) 261-9797

The provider's authorized official is Glenn N Taylor .
The authorized official title is Oral Surgeon and has the following contact phone number (904) 261-6068.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryDN13187FLORIDAYes

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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