Healthcare Provider Details

I. General information

NPI: 1770367146
Provider Name (Legal Business Name): STEPHANIE TAYLOR DYE DMD, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE DEE TAYLOR

II. Dates (important events)

Enumeration Date: 08/24/2023
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 E BAY DR
LARGO FL
33771-2468
US

IV. Provider business mailing address

2747 3RD AVE N
ST PETERSBURG FL
33713-7821
US

V. Phone/Fax

Practice location:
  • Phone: 727-536-3400
  • Fax:
Mailing address:
  • Phone: 813-767-6921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDN28577
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN28577
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: