Individual
DR. KEITH HARRISON TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
544 ROLAND AVE, SUITE 100, JACKSON, TN 38301-4302
(731) 426-1834
(731) 426-1836
Mailing address
544 ROLAND AVE, SUITE 100, JACKSON, TN 38301-4302
(731) 426-1834
(731) 426-1836
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
7760
TN
Other
Enumeration date
07/22/2005
Last updated
06/16/2009
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