Taylor D. Everett DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TAYLOR D. EVERETT DDS, PA

Practice address

604 Ja Dooley Womack Dr
Camden, AR 71701-2730

Phone

(870) 836-5222

NPI assigned

Jan 21, 2021

Last updated

Jan 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jan D Parnell

Title

Office Manager

Phone

(870) 836-5222

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Taylor Donald Everett, DDS

  • General Practice Dentistry
  • Camden, AR
  • NPI 1487917001
  NPD

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1912597154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 JA DOOLEY WOMACK DR",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717012730",
            "telephone_number": "870-836-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 JA DOOLEY WOMACK DR",
            "city": "CAMDEN",
            "state": "AR",
            "postal_code": "717012730",
            "telephone_number": "870-836-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLOR D. EVERETT DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "PARNELL",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "870-836-5222"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Camden, AR
• Providers in Camden, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.