Individual provider · Type 1 NPI
Shannon Taylor, DDS
Student in an Organized Health Care Education/Training Program · Randolph, NJ
NPI number
1043845290
Active
Practice location
924 Nj Route 10
Randolph, NJ 07869
Mailing address
19 Randolph Dr
Morristown, NJ 07960-5319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Randolph
About NPI 1043845290
Shannon Taylor, DDS's National Provider Identifier is 1043845290, issued on Mar 9, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Randolph, NJ. The record was last updated on Sep 19, 2025.