Provider Demographics
NPI:1972704310
Name:TAYLOR, HOPE MICHELLE (DDS)
Entity type:Individual
Prefix:DR
First Name:HOPE
Middle Name:MICHELLE
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 1:2050 WHITE MYRTLE DR
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-9479
Mailing Address - Country:US
Mailing Address - Phone:225-236-8364
Mailing Address - Fax:
Practice Address - Street 1:1000 C M FAGAN DR STE A
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-6055
Practice Address - Country:US
Practice Address - Phone:985-345-4166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA58251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice