JUANITA R. TAYLOR, DDS, LLC


Address: 4615 Lafayette Rd Ste B, Indianapolis, IN 46254-2035
Phone: 3179689700

JUANITA R. TAYLOR, DDS, LLC (NPI# 1669619367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669619367
Entity Type Organization
Organization Name JUANITA R. TAYLOR, DDS, LLC
Other Organization Name CARINGSMILES 4U
Practice Address 4615 Lafayette Rd Ste B
Indianapolis
IN 46254-2035
Practice Telephone 3179689700
Mailing Telephone 3179689700
Enumeration Date 2009-01-16
Last Update Date 2012-11-09
Authorized Official Name DR. JUANITA RENAE TAYLOR (MEMBER/OWNER)
Authorized Official Telephone 3179689700
Authorized Official Credential DDS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
CaringSmiles 4u Doing Business As Name - Organization

Office Location

Street Address 4615 LAFAYETTE RD STE B
City INDIANAPOLIS
State IN
Zip Code 46254-2035

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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Competitor

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City INDIANAPOLIS
Zip Code 46254

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Dataset Information

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.

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