Healthcare Provider Details

I. General information

NPI: 1689379141
Provider Name (Legal Business Name): TAYLOR LAYNE BOYCE KING DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2023
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6757 US HIGHWAY 98 W STE 301
SANTA ROSA BEACH FL
32459-4780
US

IV. Provider business mailing address

6757 US HIGHWAY 98 W STE 301
SANTA ROSA BEACH FL
32459-4780
US

V. Phone/Fax

Practice location:
  • Phone: 850-622-5888
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number29195
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: