NPI 1043732167

Jonathan Robert Taylor

Practitioner Dentist Gainesville, GA

Practice location

Address: 615 Green St NW STE 101, Gainesville, GA 30501-3378
Phone: (770) 532-2336
Fax: (770) 532-3905

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DN015476 (GA)

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Registry record

NPI: 1043732167
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2017
Record last updated: 21 Jul 2022

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.