Taylor, Jimmy Michael

Taylor, Jimmy Michael is an individual health care provider with primary practice located at 409 W Tyler St , Gilmer TX 75644. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Taylor, Jimmy Michael can be contacted via phone (903) 843-2996.

Contact Information

Primary practice address
409 W Tyler St Gilmer TX 75644
Phone: (903) 843-2996
Fax: (903) 843-3616
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 9835 Texas

Profile Details

NPI number 1790765188
LBN Legal business name Taylor, Jimmy Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790765188 NPPES
Other 794829 UNITED CONCORDIA

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