Provider Demographics
NPI:1275609224
Name:APPLEWHITE TAYLOR, RAMONA (DDS)
Entity type:Individual
Prefix:DR
First Name:RAMONA
Middle Name:
Last Name:APPLEWHITE TAYLOR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4927 LAKE RIDGE PKWY
Mailing Address - Street 2:STE 140
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75052-3087
Mailing Address - Country:US
Mailing Address - Phone:817-591-7800
Mailing Address - Fax:214-235-0717
Practice Address - Street 1:4927 LAKE RIDGE PKWY
Practice Address - Street 2:STE 140
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75052-3087
Practice Address - Country:US
Practice Address - Phone:817-591-7800
Practice Address - Fax:682-323-8456
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2015-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX187321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice