# HEATHER A. TAYLOR PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083843148
- **Authorized official:** DR. HEATHER ANN TAYLOR DDS (OWNER)
- **Authorized official phone:** (304) 281-0297

## Contact information

- **Practice address:** 1307 WHEELING AVE, GLEN DALE, WV 26038-1747
- **Practice address phone:** (304) 281-0297
- **Mailing address:** 1307 WHEELING AVE, GLEN DALE, WV 26038-1747
- **Mailing address phone:** (304) 281-0297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3810 | WV | Yes |

## Other

- **Enumeration date:** 07/10/2009
- **Last updated:** 07/10/2009