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Amanda Tinesha Taylor, DDS
General Practice Dentistry in Waldorf, Maryland
NPI 1053748228

Amanda Tinesha Taylor is a General Practice Dentistry based in Woodbridge, MD and is specialized in General Practice. Amanda Tinesha Taylor practices in Waldorf, MD and has the professional credentials of DDS. The NPI Number for Amanda Tinesha Taylor is 1053748228 and holds a License No. 29790 (Maryland).

The current practice location address for Amanda Tinesha Taylor is 117 Saint Patricks Dr, Waldorf, MD and can be reached out via phone at 301-870-4553. You can also correspond with Amanda Tinesha Taylor through the mailing address at 15046 BARNES MEADOWS CT, WOODBRIDGE, VA - 22193-3188 (mailing address contact number: 919-260-5850).

Location: 117 Saint Patricks Dr, Waldorf, MD, 22193-3188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053748228
Provider Name
Amanda Tinesha Taylor
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
117 Saint Patricks Dr, Waldorf, MD, 22193-3188
Phone Number
301-870-4553
Fax Number
Provider Enumeration Date
10/03/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
117 Saint Patricks Dr
City
Waldorf
State
Maryland
Zip
20603-4574
Phone Number
301-870-4553
Fax Number
person
Provider Business Mailing Address Details
Address
117 Saint Patricks Dr
City
Waldorf
State
Maryland
Zip
20603-4574
Phone Number
301-870-4553
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401416758 (Virginia)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
29790 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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