Individual provider · Type 1 NPI

Taylor Christopher Pankey, DDS

Student in an Organized Health Care Education/Training Program · Fort Worth, TX

NPI number 1417642000 Active

Practice location

1500 S Main St
Fort Worth, TX 76104-4941

Mailing address

602 1/2 S Columbia St Apt A
Chapel Hill, NC 27514-4507

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1417642000

Taylor Christopher Pankey, DDS's National Provider Identifier is 1417642000, issued on Apr 10, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 10, 2023.