Taylor, Clark O

Taylor, Clark O is an individual health care provider with primary practice located at 805 S Reserve St , Missoula MT 59801-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Taylor, Clark O can be contacted via phone (406) 549-6600.

Contact Information

Primary practice address
805 S Reserve St Missoula MT 59801-2104
Phone: (406) 549-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X 7822 Montana

Profile Details

NPI number 1689745804
LBN Legal business name Taylor, Clark O
Credentials M.D.,D.D.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2006
Last updated Mar 30th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689745804 NPPES
Montana MEDICAID 1689745804

Popular Providers