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Provider Information for 1164572350



DR. GARY E TAYLOR DDS

Gender: MALE

Individual NPI: 1164572350

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1164572350
Enumeration Date 2007-01-11
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 3440 OLD ALABAMA ROAD
ALPHARETTA, GA 30022
United States

Phone: 770-475-0603 | Fax: 770-753-8893
View Map External Link
Primary Practice Address 3440 OLD ALABAMA ROAD
ALPHARETTA, GA 30022
United States

Phone: 770-475-0603 | Fax: 770-753-8893
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice GA DN012265