MEDICARE: ROBERT M TAYLOR JR. 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	1223G0001X	General Practice Dentistry	11355	MI

General Provider Information

NPI Number	:	1982644530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT M TAYLOR JR. D.D.S.

Provider Business Mailing Address
First Line	:	279 N THIRD ST
Second Line	:	P.O. BOX 139
City	:	ROGERS CITY
State	:	MI
Zip	:	49779-1610
Country	:	US
Telephone Number	:	989-734-4973
Fax Number	:	989-734-7242

Provider Business Practice Location Address
First Line	:	279 N THIRD ST
Second Line	:
City	:	ROGERS CITY
State	:	MI
Zip	:	49779-1610
Country	:	US
Telephone Number	:	989-734-4973
Fax Number	:	989-734-7242

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	02/22/2026

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