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General NPI Number Information
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NPI Number | 1124571559
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Entity Type | Individual
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Provider Name | TAYLOR ANDREW BANKS D.M.D
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Gender | Male
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 04/02/2020
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Provider Practice Location Address
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Address Line | 1901 MULBERRY ST
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City | MONTGOMERY
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State | AL
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Zip | 36106-1626
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Country | US
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Telephone | 334-265-9202
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Fax |
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Provider Business Mailing Address
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Address Line | 112 CREST DR
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City | HOMEWOOD
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State | AL
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Zip | 35209-5324
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Country | US
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Telephone | 205-902-5573
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6428
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License Number State | AL
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