Individual
DR. JEFFREY JOHN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
313 MAIN ST W, MAPLETON, MN 56065-2062
(507) 524-3830
(507) 524-4705
Mailing address
313 MAIN ST W, PO BOX 307, MAPLETON, MN 56065-2062
(507) 524-3830
(507) 524-4705
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8877
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41654 TA
BLUE CROSS BLUE SHIELD
MN
01
—
832302
UNITED CONCORDIA
MN
Enumeration date
07/19/2006
Last updated
07/08/2007
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