Individual provider · Type 1 NPI

Lamonica Davis Taylor, DMD

Pediatric Dentistry · Jackson, MS

NPI number 1063706802 Active

Practice location

5442 Watkins Drive
Jackson, MS 39206

Fax (601) 398-0450

Mailing address

5442 Watkins Dr
Jackson, MS 39206-2034

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X3605-11 (MS)
Pediatric Dentistry Primary 1223P0221XPEDO-483-14 (MS)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1063706802

Lamonica Davis Taylor, DMD's National Provider Identifier is 1063706802, issued on Jun 8, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Jackson, MS. The record was last updated on Jan 12, 2016.