Taylor, Jonathan David

Taylor, Jonathan David is an individual health care provider with primary practice located at 22D Medical Group 57950 Leavenworth St, Mcconnell Afb KS 67221-3506. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Taylor, Jonathan David can be contacted via phone (316) 759-5181.

Contact Information

Primary practice address
22D Medical Group 57950 Leavenworth St Mcconnell Afb KS 67221-3506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0 Ohio

Profile Details

NPI number 1417424367
LBN Legal business name Taylor, Jonathan David
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2018
Last updated Aug 24th, 2021 - about 4 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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