MEDICARE: JOSEPH NICHOLAS TAYLOR DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	7289	NV

General Provider Information

NPI Number	:	1013422138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH NICHOLAS TAYLOR DDS

Provider Business Mailing Address
First Line	:	4372 W ANN RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3765
Country	:	US
Telephone Number	:	702-760-3450
Fax Number	:	702-760-3451

Provider Business Practice Location Address
First Line	:	4372 W ANN RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89031-3765
Country	:	US
Telephone Number	:	702-760-3450
Fax Number	:	702-760-3451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2017
Last Update Date	:	01/27/2026

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