# LEE G TAYLOR DDS PC

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

## Provider details

- **NPI number:** 1093873606
- **Authorized official:** DR. LEE GIFFORD TAYLOR SR. DDS (PRESIDENT DENTIST)
- **Authorized official phone:** (610) 789-2904

## Contact information

- **Practice address:** 710 DARBY ROAD, HAVERTOWN, PA 19083
- **Practice address phone:** (610) 789-2904
- **Practice address fax:** (610) 789-7854
- **Mailing address:** 710 DARBY ROAD, HAVERTOWN, PA 19083
- **Mailing address phone:** (610) 789-2904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | DS021471L | PA | Yes |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 08/22/2020