Individual
DR. SCOTT LAVAL TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2550 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118
(318) 686-0866
(318) 686-8468
Mailing address
2550 BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71118
(318) 686-0866
(318) 686-8468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2559
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1825590
—
LA
01
—
28093
UNITED CONCORDIA
LA
01
—
D1120
BLUE CROSS BLUE SHIELD
LA
Enumeration date
10/06/2006
Last updated
07/08/2007
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