Organization
SCOTT M TAYLOR, DDS
Active
Other names
Sunshine Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT MATTHEW TAYLOR DDS (OWNER)
(479) 251-7000
Entity
Organization
Contact information
Practice address
2901 E ZION RD, SUITE 12, FAYETTEVILLE, AR 72703-5070
(479) 251-7000
Mailing address
2901 E ZION RD, SUITE 12, FAYETTEVILLE, AR 72703-5070
(479) 251-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139120631
—
AR
Enumeration date
02/17/2006
Last updated
02/04/2011
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