Healthcare Provider Details

I. General information

NPI: 1174456669
Provider Name (Legal Business Name): TAYLOR WHITWORTH DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1291 FLORIDA AVE SW
DENHAM SPRINGS LA
70726-4635
US

IV. Provider business mailing address

6124 DOUBLE TREE DR
BATON ROUGE LA
70817-3978
US

V. Phone/Fax

Practice location:
  • Phone: 225-725-7723
  • Fax:
Mailing address:
  • Phone: 225-588-9988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number7819
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: