MEDICARE: DR. TAYLOR DUNCAN DMD

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	1223G0001X	General Practice Dentistry	6411	AL

General Provider Information

NPI Number	:	1386173433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TAYLOR DUNCAN DMD

Provider Business Mailing Address
First Line	:	2224 RIDGEMONT DR
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35244-1220
Country	:	US
Telephone Number	:	256-856-6822
Fax Number	:

Provider Business Practice Location Address
First Line	:	4730 CHACE CIR
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35244-3703
Country	:	US
Telephone Number	:	256-856-6822
Fax Number	:

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

Provider Enumeration Date	:	06/11/2017
Last Update Date	:	03/17/2018

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