MEDICARE: DR. STEVEN BRADFORD TAYLOR D.D.S.

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	10645	TX

General Provider Information

NPI Number	:	1669589479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN BRADFORD TAYLOR D.D.S.

Provider Business Mailing Address
First Line	:	5510 ABRAMS RD
Second Line	:	SUITE 107
City	:	DALLAS
State	:	TN
Zip	:	75214
Country	:	US
Telephone Number	:	214-368-2080
Fax Number	:	214-368-2060

Provider Business Practice Location Address
First Line	:	5510 ABRAMS RD
Second Line	:	SUITE 107
City	:	DALLAS
State	:	TX
Zip	:	75214-2000
Country	:	US
Telephone Number	:	214-368-2080
Fax Number	:	214-368-2060

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

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	07/08/2007

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