Provider Demographics
NPI:1528347390
Name:TAYLOR, MEGAN ELIZABETH (DDS)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:ELIZABETH
Last Name: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 1:2681 S CHANCERY ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-3683
Mailing Address - Country:US
Mailing Address - Phone:931-668-4184
Mailing Address - Fax:931-668-4185
Practice Address - Street 1:2681 S CHANCERY ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-3683
Practice Address - Country:US
Practice Address - Phone:931-668-4184
Practice Address - Fax:931-668-4185
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-11
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS9312122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist