Taynor, Elliot Stephen
Taynor, Elliot Stephen is an individual health care provider with primary practice located at 6 Medical Dr , Port Jefferson Station NY 11776-1594. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Taynor, Elliot Stephen can be contacted via phone (631) 928-2655.Contact Information
Primary practice address
6 Medical Dr
Port Jefferson Station NY 11776-1594
Phone: (631) 928-2655
Fax: (631) 476-4635
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 026662 | New York |
Profile Details
| NPI number | 1053473058 |
|---|---|
| LBN Legal business name | Taynor, Elliot Stephen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 15th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053473058 | NPPES |
| New York | MEDICAID | 00654908 |
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