Organization
MARK E. TAYLOR, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK EDWARD TAYLOR DDS (PRESIDENT)
(704) 853-3122
Entity
Organization
Contact information
Practice address
640 HUNTSMAN CT, GASTONIA, NC 28054-6060
(704) 853-3122
(704) 853-8466
Mailing address
640 HUNTSMAN CT, GASTONIA, NC 28054-6060
(704) 853-3122
(704) 853-8466
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6495
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
899004V
—
NC
Enumeration date
11/01/2006
Last updated
08/22/2020
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