Individual provider · Type 1 NPI
Brenda Jean Taylor, DMD
General Practice Dentistry · Chicago, IL
NPI number
1114017662
Active
Practice location
701 West 111th Street
Chicago, IL 60628
Fax (773) 995-9796
Mailing address
11139 S Halsted St
Chicago, IL 60628-3910
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 019-023707 (IL) |
| General Practice Dentistry Primary | 1223G0001X | 019023707 (IL) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1114017662
Brenda Jean Taylor, DMD's National Provider Identifier is 1114017662, issued on Oct 13, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Apr 30, 2021.