National Provider Identifier Database

CLARK O TAYLOR, M.D.,D.D.S. – NPI #1689745804
Oral & Maxillofacial Surgery


Contact Information

CLARK O TAYLOR, M.D.,D.D.S.
805 S RESERVE ST
MISSOULA, MT59801-2104
Phone: 406-549-6600
Fax:
Website:
Specialty Taxonomy Code
* Oral & Maxillofacial Surgery 204E00000X

* Indicates primary specialty

NPI Profile & details for CLARK O TAYLOR

NPI Number 1689745804
Credentials M.D.,D.D.S.
Entity Individual
Enumeration date 11/10/2006
Last updated 03/30/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • MT License #: 7822
  • MT Medicaid: 1689745804
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for CLARK O TAYLOR, M.D.,D.D.S.

There are currently no reviews for CLARK O TAYLOR, M.D.,D.D.S.


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