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NATHANIEL M. TAYLOR, DMD, LLC.

Managed Care Organizations Preferred Provider Organization

Provider NPI: 1780109348

Organization Information:
Organization Name:  NATHANIEL M. TAYLOR, DMD, LLC.
Organization is not Subpart
Authorized Official:  CINDY  JANIK  INSURANCE COORDINATOR  440-457-1221

Practice Location:
6391 ROYALTON RD STE A  NORTH ROYALTON, OH 44133-4922 US
Tel: (44-0) -457-1221  Fax: 440-457-1223

Business Mailing Address:
6391 ROYALTON RD STE A  NORTH ROYALTON, OH 44133-4922 US
Tel: 440-457-1221  Fax: 440-457-1223

NPI Information:
NPI: 1780109348
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y305R00000XManaged Care Organizations
Preferred Provider Organization
OH22807

Other Provider Identifiers:

IssuerNumberStateType
INDIVIDUAL NATIONAL PROVIDER IDENTIFIER1598920589OH01



American Medical Association 2012 taxonomy code information

Code: 305R00000X

Type:

Classification:



Definition:



MEDICAL JOBS OH - Page 1

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