Provider Demographics
NPI:1316290497
Name:CAYLOR, M EDWIN (DDS)
Entity type:Individual
Prefix:DR
First Name:M
Middle Name:EDWIN
Last Name:CAYLOR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 CLEVELAND HWY
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:GA
Mailing Address - Zip Code:30721-8009
Mailing Address - Country:US
Mailing Address - Phone:706-259-3318
Mailing Address - Fax:706-259-3319
Practice Address - Street 1:2880 CLEVELAND HWY
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:GA
Practice Address - Zip Code:30721-8009
Practice Address - Country:US
Practice Address - Phone:706-259-3318
Practice Address - Fax:706-259-3319
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2012-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN008844122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist