Taylor Dentristry PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

SC3355 Issued in SC

Legal business name

TAYLOR DENTRISTRY PC

Practice address

1032C Kinley Rd
Irmo, SC 29063-9632

Phone

(803) 781-3232

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ralph Edward Taylor Jr., DMDNPI 1982754206

Title

Owner

Phone

(803) 781-3232

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ralph Edward Taylor Jr., DMD

  • General Practice Dentistry
  • Irmo, SC
  • NPI 1982754206
  NPD (past) Authorized official

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578613808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1032C KINLEY RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639632",
            "telephone_number": "803-781-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1032C KINLEY RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290639632",
            "telephone_number": "803-781-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR DENTRISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-781-3232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "SC3355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z33553",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Y Sutton
• Sutton'S Medical (Home Supplies & Equipment)
• Ricki Sweat
• Jordan Daquan Sweetenburg
• Rachel Swygert
• Charis Prichard Taylor, M.D.
• Dana Taylor
• Dinah S. Taylor, LMFTA
• Ralph Edward Taylor Jr., DMD
• Kristi Edwards Temples, RN

• General Practice Dentistry in Irmo, SC
• Providers in Irmo, SC by specialty
• General Practice Dentistry in South Carolina

• 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.