Individual
BRIAN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2300 FREEPORT RD, FELDARELLI SQUARE, SUITE 1B, NEW KENSINGTON, PA 15068-4669
(724) 212-3167
(724) 212-3169
Mailing address
2300 FREEPORT RD, FELDARELLI SQUARE, SUITE 1B, NEW KENSINGTON, PA 15068-4669
(724) 212-3167
(724) 212-3169
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS029847
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016077330001
—
PA
05
—
0016077330003
—
PA
05
—
0016077330006
—
PA
05
—
0016077330007
—
PA
05
—
0016077330009
—
PA
05
—
0016077330010
—
PA
05
—
0016077330011
—
PA
05
—
0016077330013
—
PA
05
—
0016077330014
—
PA
05
—
0016077330015
—
PA
05
—
0016077330016
—
PA
05
—
0016077330017
—
PA
05
—
0016077330018
—
PA
Enumeration date
04/06/2006
Last updated
02/17/2009
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