MEDICARE: TAYLOR WHITWORTH 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	7819	LA

General Provider Information

NPI Number	:	1174456669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAYLOR WHITWORTH DDS

Provider Business Mailing Address
First Line	:	6124 DOUBLE TREE DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70817-3978
Country	:	US
Telephone Number	:	225-588-9988
Fax Number	:

Provider Business Practice Location Address
First Line	:	1291 FLORIDA AVE SW
Second Line	:
City	:	DENHAM SPRINGS
State	:	LA
Zip	:	70726-4635
Country	:	US
Telephone Number	:	225-725-7723
Fax Number	:

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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