# KEITH A. TAYLOR, DDS, PA

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

## Provider details

- **NPI number:** 1114376357
- **Authorized official:** JULIE L. GRUVER (DENTAL CONSULTANT)
- **Authorized official phone:** (919) 900-0252

## Contact information

- **Practice address:** 110 BANKS DR, CHAPEL HILL, NC 27514-1514
- **Practice address phone:** (919) 942-5652
- **Mailing address:** 110 BANKS DR, CHAPEL HILL, NC 27514-1514
- **Mailing address phone:** (919) 942-5652

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5371 | NC | Yes |

## Other

- **Enumeration date:** 06/08/2016
- **Last updated:** 06/08/2016