Leslie S. Taylor, D.D.S.
Individual provider Active NPI Dentist · Manakin Sabot, VA
NPI 1497947436 · NPPES record last updated Aug 14, 2007
Key facts
- NPI
- 1497947436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 0401006919 (VA)
- Practice address
- 27 Briggs Dr
Manakin Sabot, VA 23103-2250 - Phone
- (804) 784-2386
- Fax
- (804) 784-2779
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| 0401006919 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sarah C Wilmer DDS PLLC | Dentist | Past |
Accepting new patients |
| Leslie S. Taylor, DDS, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401006919 | VA | Yes |
Addresses
Primary practice location
27 Briggs Dr
Manakin Sabot, VA 23103-2250
Mailing address
PO Box 369
Oilville, VA 23129-0369
Phone (804) 784-2386
Other providers in Manakin Sabot, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2007. 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.