Individual
MR. MICHAEL KEMP TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
870 STATE FARM RD, SUITE 103A, BOONE, NC 28607-4861
(828) 264-3333
(828) 264-6340
Mailing address
PO BOX 1038, BOONE, NC 28607-1038
(828) 264-3333
(828) 264-6340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
104691
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40899
—
NC
01
—
811744
UNITED CONCORIDA#
NC
05
—
8998295
—
NC
01
—
98295
BCBS #
NC
Enumeration date
02/19/2007
Last updated
06/12/2008
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