Individual
DR. MARK H. TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
17455 MANDERSON ST., OMAHA, NE 68116-1159
(402) 333-0274
Mailing address
13512 DECATUR CIR, OMAHA, NE 68154-3830
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4396
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1223P0221X
—
NE
Enumeration date
11/13/2006
Last updated
06/24/2013
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