Individual
DR. STEPHEN H TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
30 NM HIGHWAY 65, LAS VEGAS, NM 87701
(505) 425-6677
(505) 425-9638
Mailing address
1316 5TH ST, LAS VEGAS, NM 87701-4302
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2559
AR
1223G0001X
General Practice Dentistry
CO7197
CO
1223G0001X
General Practice Dentistry
DD4234
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
176292608
—
AR
Enumeration date
08/16/2006
Last updated
01/17/2019
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