National Provider Identifier Database

BRENDA J TAYLOR, DMD – NPI #1114017662
General Practice

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.


Contact Information

BRENDA J TAYLOR, DMD
701 WEST 111TH STREET
CHICAGO, IL60628
Phone: 773-995-1234
Fax: 773-995-9796
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X
Dentist 122300000X

* Indicates primary specialty

NPI Profile & details for BRENDA J TAYLOR

NPI Number 1114017662
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 10/13/2006
Last updated 04/30/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • IL License #: 019-023707
  • IL License #: 019023707
  • IN Medicaid: 200248120
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.

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