NPI 1043990963

Jacob Taylor, DDS

Practitioner Dentist Fpo, AE

Practice location

Address: Psc 819 Box 18, Fpo, AE 09645-0001
Phone: (814) 574-5223

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence DEN.00205686 (CO)

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Registry record

NPI: 1043990963
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Jul 2023
Record last updated: 22 Apr 2026

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.