{
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"IsOrgSubpart": "N",
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"OrgName": "ANDREW T. TAYLOR, DMD, PLLC",
"LastName": null,
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"FirstLineMailingAddress": "10997 TIMOTHYS DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CONIFER",
"MailingAddressStateName": "CO",
"MailingAddressPostalCode": "80433-8227",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "781-258-4602",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "460 COUNTY ROAD 43 STE 3",
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"PracticeLocationAddressCityName": "BAILEY",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80421-2504",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "720-924-6061",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/08/2024",
"LastUpdateDate": "02/21/2024",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TAYLOR",
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"AuthorizedOfficialTitle": "OWNER DENTIST",
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"AuthorizedOfficialCredential": "DMD",
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"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Dental Clinic/Center",
"LicenseNumber": null,
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"PrimaryTaxonomySwitch": "Y"
}
},
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}
}