Individual
JEREMIAH ERWIN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
2 IRIS ST, ASHEVILLE, NC 28803-2705
(828) 252-2791
Mailing address
2 IRIS ST, ASHEVILLE, NC 28803-2705
(828) 252-2791
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12081
NC
122300000X
Dentist
Primary
32128
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12081
NC DENTAL LICENSE
NC
Enumeration date
08/05/2016
Last updated
03/16/2021
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