Lee Gifford Taylor Sr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS021471L Issued in PA

Practice address

710 Darby Rd
Havertown, PA 19083-4606

Phone

(610) 789-2904

NPI assigned

Feb 21, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lee G Taylor DDS PC

  • Dentist
  • Havertown, PA
  • NPI 1093873606
  NPD (past) Authorized official
• Adam Dai DMD PC

  • Dental Clinic/Center
  • Havertown, PA
  • NPI 1730730029
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1003355280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 BROOKLINE BLVD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190833925",
            "telephone_number": "610-996-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 DARBY RD",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190834606",
            "telephone_number": "610-789-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "LEE",
        "middle_name": "GIFFORD",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-21",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS021471L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1093873606",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracey Tainter, PT, DPT
• Karisa N Taparata, M.ED.
• Alyssa Tarantino, MA, CCC-SLP
• William Tatham
• Barbara K. Taylor, L.C.S.W.
• Tender Loving Care Nurses, Inc.
• Andrew T Teplica, DPM
• The Giant Company, LLC
• The Lihn Center for Psychology
• The Mending Space LLC

• Dentist in Havertown, PA
• Providers in Havertown, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.