Thad Taylor IV DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

THAD TAYLOR IV DDS

Practice address

3261 S. Carrier Pkwy.
Grand Prairie, TX 75052

Phone

(972) 647-8008

Fax

(972) 660-8509

NPI assigned

Jan 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Thad Taylor IV, DDSNPI 1013077833

Title

Owner

Phone

(972) 647-8008

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thad Taylor IV, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Grand Prairie, TX
  • NPI 1013077833
  NPD (past) Authorized official
• Quinton Dewayne Slaughter, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Midlothian, TX
  • NPI 1184992588
  NPD (past)

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1033626221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3261 S. CARRIER PKWY.",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "972-647-8008",
            "fax_number": "972-660-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3261 S. CARRIER PKWY.",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "75052",
            "telephone_number": "972-647-8008",
            "fax_number": "972-660-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAD TAYLOR IV DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "THAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-647-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2018; 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.