Naylor Periodontics, P.C.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

021.002526 Issued in IL

Legal business name

NAYLOR PERIODONTICS, P.C.

Practice address

4956 Autumn Oaks Dr
Suite B
Maryville, IL 62062-8504

Phone

(618) 288-1550

Fax

(618) 288-0045

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Ryan Naylor, D.M.D., M.S.

Title

President

Phone

(618) 288-1550

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420416000000",
    "number": "1528072477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4956 AUTUMN OAKS DR",
            "address_2": "SUITE B",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628504",
            "telephone_number": "618-288-1550",
            "fax_number": "618-288-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4956 AUTUMN OAKS DR",
            "address_2": "SUITE B",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620628504",
            "telephone_number": "618-288-1550",
            "fax_number": "618-288-0045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAYLOR PERIODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-01-05",
        "status": "A",
        "authorized_official_last_name": "NAYLOR",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-288-1550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "IL",
            "license": "021.002526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Marie Musso, PHARM.D
• Robin L. Myers, PSY.D.
• Srikanth Nadella, M.D.
• Katherine Napier, APRN, PMHNP-BC
• Riaz A Naseer, M.D.
• Melia Neill
• Sajjan K Nemani, MD
• Whitney Nichols, DOCTOR
• Sanjay K Nigam, MD
• McKenzie Leigh Nikonovich, PMHNP-BC

• Periodontics in Maryville, IL
• Providers in Maryville, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2015; 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.