Individual
JEFFREY WATSON TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1745 HIGHWAY 77, SOUTHSIDE, AL 35907-0169
(256) 442-1463
(256) 442-9821
Mailing address
1745 HIGHWAY 77, SOUTHSIDE, AL 35907-0169
(256) 442-1463
(256) 442-9821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5705
AL
Other
Enumeration date
05/06/2009
Last updated
03/26/2013
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