Healthcare Provider Details

I. General information

NPI: 1881519908
Provider Name (Legal Business Name): TAYLOR JONES DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3841 MAIN ST
COLLEGE PARK GA
30337-3655
US

IV. Provider business mailing address

1718 LINE ST
DECATUR GA
30032-4332
US

V. Phone/Fax

Practice location:
  • Phone: 678-904-6775
  • Fax:
Mailing address:
  • Phone: 404-482-8488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN124338
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: