Taylor, Mark Edward
Taylor, Mark Edward is an individual health care provider with primary practice located at 640 Huntsman Ct , Gastonia NC 28054-6060. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Taylor, Mark Edward can be contacted via phone (704) 853-3122.Contact Information
Primary practice address
640 Huntsman Ct
Gastonia NC 28054-6060
Phone: (704) 853-3122
Fax: (704) 853-8466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6495 | North Carolina |
Profile Details
| NPI number | 1467490326 |
|---|---|
| LBN Legal business name | Taylor, Mark Edward |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1467490326 | NPPES |
| North Carolina | MEDICAID | 899004V |
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