Individual
MRS. TAYLOR DANIELLE TODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7973 W DESTINY BLVD, FORT CAMPBELL, KY 42223-5429
(270) 412-6027
Mailing address
1282 MAGNUM DR, CLARKSVILLE, TN 37040-2036
(706) 284-7843
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
10359
TN
124Q00000X
Dental Hygienist
148006
AK
124Q00000X
Dental Hygienist
DH043341
GA
124Q00000X
Dental Hygienist
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10359
TENNESSEE DENTAL HYGIENE LICENSE NUMBER
TN
01
—
148006
ALASKA DENTAL HYGIENE LICENSE NUMBER
AK
01
—
DH043341
GEORGIA DENTAL HYGIENE LICENSE NUMBER
GA
Enumeration date
05/03/2018
Last updated
02/15/2022
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