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ERIC K. TAYLOR DDS PC NPI 1104058478


NPI Information

NPI: 1104058478
Provider Name: ERIC K. TAYLOR, DDS, PC

Doing Business As: ERIC K. TAYLOR, DDS, PC

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
455 S. LIVERNOIS ROAD
B-12
ROCHESTER HILLS, MI
ZIP 48307
Phone: (248) 652-7300
Get Directions

ERIC K. TAYLOR, DDS, PC is an oral and maxillofacial surgery clinic center in Rochester Hills, MI. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ERIC K. TAYLOR, DDS, PC NPI is 1104058478. The provider is registered as an organization entity type.
The provider Is Doing Business As Eric K. Taylor, Dds, Pc.

The provider's business location address is:

455 S. LIVERNOIS ROAD
B-12
ROCHESTER HILLS, MI
ZIP 48307
Phone: (248) 652-7300
Fax: (248) 652-0637

The provider's authorized official is Eric K. Taylor .
The authorized official title is Periodontal Surgeon and has the following contact phone number (248) 652-7300.

The enumeration date for this NPI number is 8/19/2009 and was last updated on 8/19/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical Specialty2901013877MICHIGANNo
2261QS0112XClinic/CenterOral and Maxillofacial Surgery2901013877MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OP00310MEDICARE PINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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