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Organization
J M TAYLOR DDS INC
Active
Organization
J M TAYLOR DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY MICHAEL TAYLOR DDS (PRESIDENT)
(903) 843-2996
Entity
Organization
Contact information
Practice address
409 W TYLER ST, GILMER, TX 75644
(903) 843-2996
(903) 843-3616
Mailing address
409 W TYLER ST, GILMER, TX 75644
(903) 843-2996
(903) 843-3616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
794829
UNITED CONCORDIA
—
Enumeration date
10/12/2006
Last updated
08/22/2020
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