ERIC K. TAYLOR, DDS, PC (NPI# 1104058478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104058478 |
| Entity Type | Organization |
| Organization Name | ERIC K. TAYLOR, DDS, PC |
| Other Organization Name | ERIC K. TAYLOR, DDS, PC |
| Practice Address |
455 S. Livernois Road B-12 Rochester Hills MI 48307 |
| Mailing Address |
455 S Livernois Rd B-12 Rochester Hills MI 48307-2578 |
| Practice Telephone | 2486527300 |
| Practice Fax Number | 2486520637 |
| Mailing Telephone | 2486527300 |
| Mailing Fax Number | 2486520637 |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2009-08-19 |
| Authorized Official Name | ERIC K. TAYLOR (PERIODONTAL SURGEON) |
| Authorized Official Telephone | 2486527300 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
2901013877 | MI | Ambulatory Health Care Facilities |
| Y | 261QS0112X |
Clinic/Center Specialization: Oral and Maxillofacial Surgery |
2901013877 | MI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Eric K. Taylor, DDS, PC | Doing Business As Name - Organization |
| Street Address |
455 S. LIVERNOIS ROAD B-12 |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 261QS0112X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497317705 | Albert J Wesley D D S PC | Clinic/Center | 511 Olde Towne Road #81907, Rochester, MI 48308 | 2019-07-08 |
| 1124540240 | Central Michigan Group | Clinic/Center | 231 W Lake Lansing Rd Ste 200, East Lansing, MI 48823-8451 | 2017-07-11 |
| 1619322526 | Michigan Maxillofacial Surgery & Implants PC | Clinic/Center | 5150 Fashion Square Blvd, Saginaw, MI 48604-9434 | 2016-04-28 |
| 1750569323 | George A Cripps Dds PC | Clinic/Center | 6714 Division Ave S, Grand Rapids, MI 49548-7808 | 2008-02-06 |
| 1679075782 | Gd Surgeons Pllc | Clinic/Center | 23895 Novi Rd Ste 500, Novi, MI 48375-0202 | 2018-03-05 |
| 1366957862 | Gregg S Resnick Dds | Clinic/Center | 110 Arbor Ln, Alpena, MI 49707-1302 | 2017-12-06 |
| 1629422597 | Advanced Oral Surgery & Implant Center P.C. | Clinic/Center | 7200 Dan Hoey Rd, Suite A, Dexter, MI 48130-4201 | 2016-04-18 |
| 1124414800 | Cass A. Radecki, D.d.s., P.C. | Clinic/Center | 203 W Michigan Ave, Saline, MI 48176-1329 | 2015-04-09 |
| 1356782155 | Paul M. Flynn, Dds, PC | Clinic/Center | 4124 W St Joe Hwy, Lansing, MI 48917-5205 | 2013-07-10 |
| 1457523755 | Jeevaka Yapa Dds PC | Clinic/Center | 29425 Northwestern Hwy, Suite 330, Southfield, MI 48034-1080 | 2008-03-26 |
| Find all providers with the same taxonomy | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48307 |
Please comment or provide details below to improve the information on ERIC K. TAYLOR, DDS, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.