Scott P Taylor, DDS
Individual provider Active NPI Dentist · St George, UT
NPI 1093854150 · NPPES record last updated Jun 2, 2016
Key facts
- NPI
- 1093854150
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 6534 (WA)
- Practice address
- 923 S River Rd
St George, UT 84790-0503 - Phone
- (435) 619-7673
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6534 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hildale Dental | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6534 | WA | Yes |
Addresses
Primary practice location
923 S River Rd
St George, UT 84790-0503
Mailing address
923 S River Rd
St George, UT 84790
Phone (435) 619-7673
Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.