Organization
KYLE W. TAYLOR, D.D.S., P.A,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE W TAYLOR D.D.S. (PRESIDENT)
(704) 548-1818
Entity
Organization
Contact information
Practice address
2315 W ARBORS DR, SUITE 105, CHARLOTTE, NC 28262-2577
(704) 548-1818
(704) 548-1126
Mailing address
2315 W ARBORS DR, SUITE 105, CHARLOTTE, NC 28262-2577
(704) 548-1818
(704) 548-1126
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5190
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5905870
—
NC
05
—
5906019
—
NC
Enumeration date
03/11/2008
Last updated
03/11/2008
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