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NPI Code Detail

MEDICARE: JAMILA A TAYLOR DDS

MEDICARE:   JAMILA A 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
11223G0001XGeneral Practice Dentistry063768NY
21223X0008XOral and Maxillofacial Radiology Dentistry0401416097VA

General Provider Information

NPI Number : 1700381340
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMILA A TAYLOR DDS
Provider Business Mailing Address
First Line : 3060 WILLIAMS DR STE 300
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4648
Country : US
Telephone Number : 214-498-5401
Fax Number :
Provider Business Practice Location Address
First Line : 3060 WILLIAMS DR STE 300
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4648
Country : US
Telephone Number : 214-498-5401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2018
Last Update Date : 05/05/2026

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Directions to “ JAMILA A TAYLOR DDS” Practice Location

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