Taylor Abbott, DMD
Individual provider Active NPI General Practice Dentistry · Oxford, MI
NPI 1053921734 · NPPES record last updated Aug 6, 2020
Key facts
- NPI
- 1053921734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2901600646 (MI)
- Practice address
- 830 S Lapeer Rd
Oxford, MI 48371-6514 - Phone
- (248) 628-9557
- NPI assigned
- Aug 6, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200824000319 | MI | Order and Referring Only - Dentist |
4880010750 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2901600646 | MI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Oakland Dental Group PC | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901600646 | MI | Yes |
Addresses
Primary practice location
830 S Lapeer Rd
Oxford, MI 48371-6514
Mailing address
740 Satterlee Rd
Bloomfield Hills, MI 48304-3148
Other providers in Oxford, MI
- A Link in Healing Counseling PLLC
- A Link in Healing LLC
- Maha Abu-Hamdan
- Academic Dermatology & Cosmetic Surgery Center PLLC
- Adel Magid DDS,P.C.
- Adel Magid DDS,P.C.
- Monica A Aguilar
All providers in Oxford, MI · General Practice Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 6, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.