MEDICARE: TAYLOR GUTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	11099	KY

General Provider Information

NPI Number	:	1902553993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR GUTH

Provider Business Mailing Address
First Line	:	5521 JULMAR DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-1905
Country	:	US
Telephone Number	:	812-584-7268
Fax Number	:

Provider Business Practice Location Address
First Line	:	6558 GLENWAY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-4410
Country	:	US
Telephone Number	:	513-401-7271
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2022
Last Update Date	:	03/16/2026

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Directions to “ TAYLOR GUTH ” Practice Location

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