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JEFFERY Y. TAYLOR DMD PA NPI 1932282563


NPI Information

NPI: 1932282563
Provider Name: JEFFERY Y. TAYLOR DMD, PA
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
431 SECURITY SQ
GULFPORT, MS
ZIP 39507
Phone: (228) 896-4325
Get Directions

JEFFERY Y. TAYLOR DMD, PA is a periodontics dentist in Gulfport, MS. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. JEFFERY Y. TAYLOR DMD, PA NPI is 1932282563. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

431 SECURITY SQ
GULFPORT, MS
ZIP 39507-922
Phone: (228) 896-4325
Fax: (228) 896-5787

The provider's authorized official is Ann Pagitt .
The authorized official title is Financial Coordinator and has the following contact phone number (228) 896-4325.

The enumeration date for this NPI number is 10/24/2006 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
11223P0300XDentistPeriodonticsPER24293GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1696993OTHERACTIVE DUTY MILITARY

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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