Provider Demographics
NPI:1124110341
Name:TAYLOR, RONALD SCOTT (DMD, MS)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:SCOTT
Last Name:TAYLOR
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 OLD FORT PKWY
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37128-4158
Mailing Address - Country:US
Mailing Address - Phone:615-494-5437
Mailing Address - Fax:
Practice Address - Street 1:2910 OLD FORT PKWY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4158
Practice Address - Country:US
Practice Address - Phone:615-494-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN140871223X0400X
TN106371223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics