# IRISH TAYLOR DENTAL LLC

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

## Provider details

- **NPI number:** 1386876076
- **Authorized official:** DR. PAUL KINGSLEY TAYLOR JR. DDS (CO-OWNER)
- **Authorized official phone:** (402) 731-0388

## Contact information

- **Practice address:** 4843 S 24TH ST, OMAHA, NE 68107-2704
- **Practice address phone:** (402) 731-0388
- **Practice address fax:** (402) 884-0921
- **Mailing address:** 4843 S 24TH ST, OMAHA, NE 68107-2704
- **Mailing address phone:** (402) 731-0388
- **Mailing address fax:** (402) 884-0921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 6678 | NE | Yes |

## Other

- **Enumeration date:** 08/14/2009
- **Last updated:** 08/22/2013