Individual provider · Type 1 NPI
Thad Taylor Iv, DDS
Oral and Maxillofacial Surgery (Dentist) · Grand Prairie, TX
NPI number
1013077833
Active
Practice location
2630 S Carrier Pkwy, Suite C
Grand Prairie, TX 75052-5069
Fax (972) 572-3900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 18948 (TX) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
4 other providers at this address
- Chester Spencer,dds,msd,&associatesOrthodontics and Dentofacial Orthopedics Dentistry Grand Prairie, TX NPI 1972773869
- James Ian Ballou, LLCOrthodontics and Dentofacial Orthopedics Dentistry Grand Prairie, TX NPI 1407187479
- Daniel J. PoticnyGeneral Practice Dentistry Grand Prairie, TX NPI 1346257284
- Patrick R. Brady, DDS, M.S.Orthodontics and Dentofacial Orthopedics Dentistry Grand Prairie, TX NPI 1407079338
About NPI 1013077833
Thad Taylor Iv, DDS's National Provider Identifier is 1013077833, issued on Dec 11, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Grand Prairie, TX. The record was last updated on Jul 8, 2007.