Organization
GLENN N TAYLOR JR DMD MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN N TAYLOR JR. DMD MD (ORAL SURGEON)
(904) 261-6068
Entity
Organization
Contact information
Practice address
1947 CITRONA DRIVE, FERNANDINA BEACH, FL 32034
(904) 261-6068
(904) 261-9797
Mailing address
4202 NW 155TH TERRACE, NEWBERRY, FL 32669
(352) 332-2876
(352) 332-1113
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN13187
FL
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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