Individual
DR. GREGORY DAVID TAYLOR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D., D.D.S
Contact information
Practice address
1422 MAIN ST, SUITE 240, SOUTHLAKE, TX 76092-7625
(817) 424-1166
(817) 416-0700
Mailing address
1422 MAIN ST, SUITE 240, SOUTHLAKE, TX 76092-7625
(817) 424-1166
(817) 416-0700
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
20815
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
L5584
TX
Other
Enumeration date
05/01/2006
Last updated
09/11/2025
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