Taylor, Jeffery Y.
Taylor, Jeffery Y. is an sole proprietor health care provider with primary practice located at 431 Security Sq , Gulfport MS 39507-1922. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Taylor, Jeffery Y. can be contacted via phone (228) 896-4325.Contact Information
Primary practice address
431 Security Sq
Gulfport MS 39507-1922
Phone: (228) 896-4325
Fax: (228) 896-5787
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 2649 | Mississippi |
| Dental Providers / Periodontics | 1223P0300X | PER24293 | Georgia |
Profile Details
| NPI number | 1588747737 |
|---|---|
| LBN Legal business name | Taylor, Jeffery Y. |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 23rd, 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 | 1588747737 | NPPES |
| Other | 696993 | ACTIVE DUTY MILITARY |
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