Healthcare Provider Details

I. General information

NPI: 1255902565
Provider Name (Legal Business Name): TAYLOR BURKE ANDERSON DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 S 40TH AVE
YAKIMA WA
98908-3963
US

IV. Provider business mailing address

812 ZILLAH WEST RD
ZILLAH WA
98953-9542
US

V. Phone/Fax

Practice location:
  • Phone: 509-577-8277
  • Fax:
Mailing address:
  • Phone: 509-314-6600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number61181825
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: