MEDICARE: DR. JEFFREY D 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	1223G0001X	General Practice Dentistry	37460	TX

General Provider Information

NPI Number	:	1659044998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY D TAYLOR DDS

Provider Business Mailing Address
First Line	:	1506 NEWMARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77014-2626
Country	:	US
Telephone Number	:	210-722-5033
Fax Number	:

Provider Business Practice Location Address
First Line	:	2055 SPRING STUEBNER RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77389-4812
Country	:	US
Telephone Number	:	346-608-0698
Fax Number	:

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

Provider Enumeration Date	:	07/30/2021
Last Update Date	:	01/14/2026

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