Active NPIIndividual provider

Russell J Taylor, DDS

Dentist, General Practice in Medford, New Jersey

NPI Number1467593871
Practice location
103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772
Fax
—
Last updated
July 8, 2007

Russell J Taylor is a Dentist, General Practice based in Medford, NJ. Russell J Taylor practices in Medford, NJ and has the professional credentials of DDS. The NPI Number for Russell J Taylor is 1467593871 and holds a License No. 22DI00923900 (NJ). The current practice location address for Russell J Taylor is 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 and can be reached out via phone at 609-953-7123.

Provider Profile Details

NPI Number
1467593871
Provider Name
Russell J Taylor
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772
Phone Number
609-953-7123
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
February 9, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Old Marlton Pike
Suite 200
Medford, NJ 08055-8772
Zip
08055-8772
Phone Number
609-953-7123
Medford, NJ 08055Get directions →

Provider Business Mailing Address Details

Address
103 Old Marlton Pike
Suite 200
Medford, NJ 08055-8772
City
Medford
State
NJ
Zip
08055-8772
Phone Number
609-953-7123

License Information

License Number
22DI00923900
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Russell J Taylor, DDS?

The NPI number of Russell J Taylor, DDS is 1467593871. It was assigned on February 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Russell J Taylor, DDS?

Russell J Taylor, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI00923900.

Where does Russell J Taylor, DDS practice?

The practice location is 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772. The office can be reached at 609-953-7123 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467593871 directly on the NPPES registry website.

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