DR. JEFFERY Y. TAYLOR (NPI# 1588747737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588747737 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY Y. TAYLOR |
| Credential | D.M.D. |
| Practice Address |
431 Security Sq Gulfport MS 39507-1922 |
| Mailing Address |
1122 Demourelle Rd Pass Christian MS 39571-4224 |
| Practice Telephone | 2288964325 |
| Practice Fax Number | 2288965787 |
| Mailing Telephone | 2284520777 |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
PER24293 | GA | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
2649 | MS | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ACTIVE DUTY MILITARY | 696993 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075327 | Jeffery Taylor | Rehabilitation Practitioner | 762 Cypress St, San Dimas, CA 91773-3505 | 2018-05-30 |
| 1407195506 | Jeffery Alan Taylor Sr. | Registered Nurse | 204 Meadows Dr, Grayling, MI 49738-2013 | 2013-02-08 |
| 1366773376 | Jeffery Grant Taylor | Physician Assistant | 126 Missouri Ave, Fort Leonard Wood, MO 65473-8952 | 2010-01-15 |
| 1730364159 | Jeffery Karl Taylor | Orthopaedic Surgery | 10535 Hospital Way, Department of Orthopedic Surgery, Sacramento Vamc, Mather, CA 95655-4200 | 2008-01-03 |
| 1750443925 | Jeffery B Taylor | Dentist | 30100 Crown Valley Pkwy Ste 42, Laguna Niguel, CA 92677-2041 | 2006-12-14 |
| 1356318547 | Jeffery M Taylor | Ophthalmology | 4630 Village Square Dr, Paducah, KY 42001-7502 | 2006-03-07 |
| Street Address |
431 SECURITY SQ |
| City | GULFPORT |
| State | MS |
| Zip Code | 39507-1922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477866994 | Jeffery Y. Taylor, Dmd, Pa | Dentist | 431 Security Sq, Gulfport, MS 39507-1922 | 2010-07-26 |
| 1508986480 | Marvin Phillip Liberto | Dentist | 431 Security Sq, Gulfport, MS 39507-1922 | 2007-04-02 |
| 1952470494 | Carol Hilborn | Dentist | 431 Security Sq, Gulfport, MS 39507-1922 | 2006-11-07 |
| 1932282563 | Jeffery Y. Taylor Dmd, Pa | Dentist | 431 Security Sq, Gulfport, MS 39507-1922 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609389105 | Karen R Burns | Speech-Language Pathologist | 3506 Washington Avenue, Ste E, Gulfport, MS 39507 | 2017-11-07 |
| 1538605027 | Andrea Broussard | Personal Emergency Response Attendant | 406 Pass Rd, Gulfport, MS 39507 | 2017-01-09 |
| 1366872491 | William Alexis Marcia | Pharmacist | 1444 East Pass Road, Gulfport, MS 39507 | 2013-11-27 |
| 1740599380 | Advanced Hearing Systems, Inc. | Hearing Instrument Specialist | 401 Security Square, Gulfport, MS 39507 | 2010-09-30 |
| 1497068118 | Stacey Ritter Carter | Dentist | 1635 East Pass Road, Gulfport, MS 39507 | 2010-07-22 |
| 1477789964 | Letonoff Orthopaedics & Sports | Orthopaedic Surgery | 452 Court House Road, Suite G, Gulfport, MS 39507 | 2009-06-10 |
| 1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
| 1043422553 | Mark D Stringer | Dentist | 520-a Courthouse Road, Gulfport, MS 39507 | 2007-05-04 |
| 1154543528 | Pass Road Elementary | Registered Nurse | 37 Pass Road, Gulfport, MS 39507 | 2007-05-03 |
| 1417073768 | John Hough Hopkins | Dentist | 3303 A Ave, Gulfport, MS 39507 | 2007-03-21 |
| Find all providers in zip 39507 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730385139 | Bernard Frederick Podlin | Dentist | 400 Pass Road, Gulfport, MS 39507 | 2007-06-22 |
| 1871656686 | Enrique Lacuesta | Dentist | 22-29th Street, Suite A, Gulfport, MS 39507 | 2006-12-19 |
| 1932282563 | Jeffery Y. Taylor Dmd, Pa | Dentist | 431 Security Sq, Gulfport, MS 39507-1922 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497112825 | Mississippi Periodontics and Implants Pllc | Dentist | 218 West Jackson Street, Ridgeland, MS 39157 | 2016-01-15 |
| 1932531373 | North Mississippi Periodontics & Implant Dentistry Pllc | Dentist | 103 Park Gate Ext, Tupelo, MS 38801-3038 | 2013-08-08 |
| 1851640437 | Ms Periodontic Specialists Group, Pllc | Dentist | 209 Woodline Dr., Flowood, MS 39232 | 2012-08-29 |
| 1790069854 | Periodontal Associates of Jackson, P.a. | Dentist | 406 Briarwood Dr., Ste. 101, Jackson, MS 39206 | 2011-10-06 |
| 1992997159 | Rodney C Richardson | Dentist | 1609 24th Ave, Meridian, MS 39301-3112 | 2007-08-13 |
| 1699966770 | Brenda Lyle Fowler | Dentist | 2408 S Lamar Blvd, Suite 3, Oxford, MS 38655-5345 | 2007-08-05 |
| 1417166703 | R. Clarke Stewart | Dentist | 406 Briarwood Dr Ste 101, Jackson, MS 39206-3059 | 2007-05-22 |
| 1750594412 | James Michael Robertson | Dentist | 103 Parkgate Drive Extended, Tupelo, MS 38801-3038 | 2007-05-08 |
| 1134341407 | Nichols Periodontics LLC | Dentist | 2401 5th Street North, Suite 2, Columbus, MS 39705 | 2007-05-03 |
| 1689719486 | Charles Joseph Caskey | Dentist | 218 West Jackson St., Ridgeland, MS 39157 | 2007-02-20 |
| Find all providers with the same taxonomy | ||||
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| 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.