Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DS0000001283 | TN |
NPI | 1003926999 |
---|---|
Provider Name | Dr. Arvin Ellis Taylor |
First Address | Morristown, TN 37814-3760 |
Second Address | Morristown, TN 37814-3760 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |