Whalio Doctors

NPI 1053748228

Amanda Tinesha Taylor, DDS

Practitioner General Practice Dentistry Waldorf, MD

Practice location

Address
117 Saint Patricks Dr, Waldorf, MD 20603-4574
Phone
(301) 870-4553
Mailing address
15046 Barnes Meadows CT, Woodbridge, VA 22193-3188

Registered specialties (4)

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 17231 (MD)
General Practice Dentistry
Dental Providers Taxonomy 1223G0001X Licence 29790 (TX)
General Practice Dentistry
Dental Providers Taxonomy 1223G0001X Licence 0401416758 (VA)
Student in an Organized Health Care Education/Training Program
Student, Health Care Taxonomy 390200000X

Registry record

NPI
1053748228
Entity type
Individual
Sex (as registered)
Female
NPI issued
3 Oct 2013
Record last updated
22 Feb 2020

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.