NPIMap

Organization Active NPI

Marvin S. Taylor DDS PC

Doing business as Dr Taylors Family Dental Center

  • General Practice Dentistry
  • Waterford, MI
National Provider Identifier
1417012774
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
09568 Issued in MI
Legal business name
MARVIN S. TAYLOR DDS PC
Doing business as
Dr Taylors Family Dental Center
Practice address
1101 W Huron St
Waterford, MI 48328-3736
Phone
(248) 681-8100
Fax
(248) 681-6318
NPI assigned
Dec 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Patty Baker
Title
Administrator
Phone
(248) 681-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 09568 MI Primary

Addresses

Primary practice location

1101 W Huron St
Waterford, MI 48328-3736

Mailing address

1770 Golf Ridge Dr S
Bloomfield Hills, MI 48302-1730
Phone (248) 681-8100

Other names 1

  • DR TAYLORS FAMILY DENTAL CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

1101 W Huron St
Waterford, MI 48328
Phone (248) 681-8100

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417012774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 GOLF RIDGE DR S",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021730",
            "telephone_number": "248-681-8100",
            "fax_number": "248-681-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W HURON ST",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483283736",
            "telephone_number": "248-681-8100",
            "fax_number": "248-681-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN S. TAYLOR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-681-8100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "09568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DR TAYLORS FAMILY DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.