Taylor, Amy L
Taylor, Amy L is an individual health care provider with primary practice located at 42D Medical Group 300 S. Twinning St. Bldg 760, Maxwell Afb AL 36112. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Taylor, Amy L can be contacted via phone (513) 460-3877.Contact Information
Primary practice address
42D Medical Group 300 S. Twinning St. Bldg 760
Maxwell Afb AL 36112
Phone: (513) 460-3877
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 30021784 | Ohio |
| Dental Providers / Dentist | 122300000X | DD4884 | New Mexico |
Profile Details
| NPI number | 1750467957 |
|---|---|
| LBN Legal business name | Taylor, Amy L |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jan 29th, 2021 - about 5 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 | 1750467957 | NPPES |
| Ohio | MEDICAID | 2417763 |
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