# DR. RYAN C. TAYLOR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1871573402
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | N-01682 | ID | — |
| 1223G0001X | General Practice Dentistry | 10464104-9921 | UT | — |
| 1223G0001X | General Practice Dentistry | 1152 | WY | Yes |

## Other

- **Enumeration date:** 01/19/2006
- **Last updated:** 01/07/2021