Jeffery Y. Taylor DMD, PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

PER24293 Issued in GA

Legal business name

JEFFERY Y. TAYLOR DMD, PA

Practice address

431 Security SQ
Gulfport, MS 39507-1922

Phone

(228) 896-4325

Fax

(228) 896-5787

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Ann Pagitt

Title

Financial Coordinator

Phone

(228) 896-4325

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Jeffery Y Taylor DMD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jeffery Y. Taylor, DMD, PA

  • General Practice Dentistry
  • Gulfport, MS
  • NPI 1477866994
  NPD tax ID

Practitioners 1

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

• Jeffery Y. Taylor, D.M.D.

  • Periodontics
  • Gulfport, MS
  • NPI 1588747737
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932282563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 SECURITY SQ",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071922",
            "telephone_number": "228-896-4325",
            "fax_number": "228-896-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 SECURITY SQ",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395071922",
            "telephone_number": "228-896-4325",
            "fax_number": "228-896-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY Y. TAYLOR DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAGITT",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "228-896-4325"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "PER24293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACTIVE DUTY MILITARY",
            "identifier": "696993",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Renee Jandorf, FNP-C
• Brandon Jasmin
• Jay J Libys MD PA
• Michelle Jeanfreau, PH.D.
• Jeannette Bolte, PH.D, PLLC
• Jeffery Y. Taylor, DMD, PA
• Heather Lyn Jeffrey
• Jeremy W Owens, MD, PC
• Jernigan Chiropractic Clinic Inc
• Grant Jernigan

• Periodontics in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Periodontics in Mississippi

• 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.