Individual
DR. LEE GIFFORD TAYLOR SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
710 DARBY RD, HAVERTOWN, PA 19083-4606
(610) 789-2904
Mailing address
416 BROOKLINE BLVD, HAVERTOWN, PA 19083-3925
(610) 996-0488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS021471L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093873606
NPI TYPE 2
PA
Enumeration date
02/21/2017
Last updated
02/21/2017
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