Taylor, John William
Taylor, John William is an sole proprietor health care provider with primary practice located at 4540 E. Baseline Rd Suite 102, Mesa AZ 85206. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Taylor, John William can be contacted via phone (480) 830-5466.Contact Information
Primary practice address
4540 E. Baseline Rd Suite 102
Mesa AZ 85206
Phone: (480) 830-5466
Fax: (480) 830-5577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 3976-18 | Mississippi |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 8386 | Arizona |
Profile Details
| NPI number | 1508178898 |
|---|---|
| LBN Legal business name | Taylor, John William |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2010 |
| Last updated | Mar 17th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508178898 | NPPES |
| Arizona | MEDICAID | 689851 |
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