Taylor Pope, DMD

Individual provider Active NPI General Practice Dentistry · Ayden, NC

NPI 1811558299 · NPPES record last updated Jun 26, 2019

Key facts

NPI
1811558299
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
11446 (NC)
Practice address
219 Third St
Ayden, NC 28513-2233
Phone
(252) 746-2801
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11446NCMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11446 NC Yes

Addresses

Primary practice location

219 Third St
Ayden, NC 28513-2233

Mailing address

3032 Mobleys Bridge Rd
Grimesland, NC 27837-8994
Phone (252) 944-7530

Other providers in Ayden, NC

All providers in Ayden, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.