Individual
DR. SCOTT MATTHEW TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2901 E ZION RD, SUITE 12, FAYETTEVILLE, AR 72703-5007
(479) 251-7000
Mailing address
3560 N BUCKINGHAM DR, FAYETTEVILLE, AR 72703-3783
(479) 251-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3082
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127764608
—
AR
01
—
3082
ARKANSAS DENTAL LICENSE #
AR
01
—
59988
MPIN #
—
Enumeration date
02/17/2006
Last updated
02/14/2011
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