RUSSELL J TAYLOR (NPI# 1467593871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467593871 |
| Entity Type | Individual |
| Full Name | RUSSELL J TAYLOR |
| Credential | DDS |
| Practice Address |
103 Old Marlton Pike Suite 200 Medford NJ 08055-8772 |
| Practice Telephone | 6099537123 |
| Mailing Telephone | 6099537123 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI00923900 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891006706 | Russell Kaleo Taylor | Anesthesiology | 317 New London Cmn, Santa Ana, CA 92704-1257 | 2010-06-24 |
| 1083787931 | Russell Scott Taylor | Dentist | 534 A Wythe Creek Road, Poquoson, VA 23662 | 2006-11-16 |
| 1821074162 | Russell J Taylor | Urology | 770 West High Street, Suite 350, Lima, OH 45801-5901 | 2005-12-19 |
| 1477982635 | Russell Haywood Taylor | Dentist | 260 Stockton St, 5th Floor, San Francisco, CA 94108-5305 | 2013-11-07 |
| 1124387683 | Russell Demetrius Taylor IIi | Dentist | 4323 Hill Street, Us Army Dental Activity, Fort Jackson, SC 29207-6022 | 2012-05-03 |
| 1376873125 | Russell B. Taylor | Chiropractor | 1760 N Main St, Suite 103, Cedar City, UT 84721-7775 | 2009-12-29 |
| 1669532214 | Russell Todd Taylor | Dentist | 4210 N 32nd St, Phoenix, AZ 85018-4723 | 2006-12-12 |
| 1942218219 | Russell Guy Taylor | Psychologist | 557 N Westgate Ave, Jacksonville, IL 62650-1156 | 2006-08-03 |
| Street Address |
103 OLD MARLTON PIKE SUITE 200 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-8772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467442384 | John Yohan Kim | Allergy & Immunology | 103 Old Marlton Pike, Suite 211, Medford, NJ 08055-8772 | 2005-10-22 |
| 1992058689 | Courtney E Houde | Physician Assistant | 103 Old Marlton Pike, Medford, NJ 08055 | 2012-10-18 |
| 1790066264 | Sleep for Health-medford LLC | Clinic/Center | 103 Old Marlton Pike, Suite 124, Medford, NJ 08055-8772 | 2011-08-29 |
| 1720318512 | Louis A D'angelo, Dmd, PC | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2009-12-30 |
| 1457581340 | Silen Balin | Dentist | 103 Old Marlton Pike, #200, Medford, NJ 08055-8772 | 2009-07-26 |
| 1275710592 | Donald C Gibson | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2008-01-29 |
| 1942492723 | Janet L Parker | Nurse Practitioner | 103 Old Marlton Pike, Suite 211, Medford, NJ 08055-8772 | 2007-08-15 |
| 1528258274 | Jeffrey Pinto | Internal Medicine | 103 Old Marlton Pike, Suite 103, Medford, NJ 08055-8772 | 2007-07-30 |
| 1881721140 | Jeffrey M Doblin | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055 | 2007-02-27 |
| 1073655981 | Doshik Kim | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598306490 | Element Family Dental | Dentist | 3860 Mystic Valley Pkwy, Unit B, Medford, MA 02155-5029 | 2019-10-01 |
| 1477119477 | Yu Wang | Dentist | 3620 Mystic Valley Pkwy Apt E209, Medford, MA 02155-5765 | 2019-05-15 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1003320854 | Thompson Dental Associates PC | Dentist | 690 Fellsway, Medford, MA 02155-4901 | 2017-11-30 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1053849943 | Joshua W Doyle | Dentist | 915 Casement Ct, Medford, WI 54451-1204 | 2017-05-23 |
| 1851833131 | Northwest Dental Associates -medford LLC | Dentist | 3551 E Barnett Rd, Suite 101, Medford, OR 97504-7037 | 2016-11-17 |
| 1184074882 | Snoring and Sleep Apnea Care LLC | Dentist | Zero Governors Ave 20-21, Medford, MA 02155-3025 | 2016-06-14 |
| 1487039186 | Benjamin Woolnough | Dentist | 366 Salem Street, Medford, MA 02155 | 2015-07-22 |
| 1275913329 | Trevor Peterson | Dentist | 4411 Brownridge Terrace, Medford, OR 97504 | 2015-06-04 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on RUSSELL J TAYLOR.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.