Individual
DR. AMY L TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
42D MEDICAL GROUP, 300 S. TWINNING ST. BLDG 760, MAXWELL AFB, AL 36112
(513) 460-3877
Mailing address
42D MEDICAL GROUP, 300 S TWINNING ST. BLDG. 760, MAXWELL AFB, AL 36112
(334) 953-3368
(334) 953-8607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30021784
OH
122300000X
Dentist
Primary
DD4884
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2417763
—
OH
Enumeration date
10/31/2006
Last updated
01/29/2021
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