Individual
CAADRIAN NORMAN TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5770 N HAMILTON RD STE A, COLUMBUS, OH 43230
(614) 475-5439
(614) 476-8558
Mailing address
5770 N HAMILTON RD STE A, COLUMBUS, OH 43230-1326
(614) 475-5439
(614) 476-8558
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30024933
OH
390200000X
Student in an Organized Health Care Education/Training Program
DRP1397
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0207346
—
OH
Enumeration date
06/15/2015
Last updated
07/01/2021
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