NPI 1043332703

Leroy Taylor, DDS

Practitioner Periodontics Matawan, NJ

Practice location

Address: 952 State Route 34, Matawan, NJ 07747-3258
Phone: (732) 583-6111
Fax: (732) 583-6110

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence DI14138 (NJ)

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Registry record

NPI: 1043332703
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.