DR. CHARLES ALAN TAYLOR JR. (NPI# 1417478041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417478041 |
| Entity Type | Individual |
| Full Name | DR. CHARLES ALAN TAYLOR JR. |
| Credential | DMD, MS |
| Practice Address |
1395 Center Dr # D1-19 Gainesville FL 32610-3006 |
| Mailing Address |
4735 Sw 91st Dr Unit 206 Gainesville FL 32608-8120 |
| Practice Telephone | 3522737846 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DRP1685 | FL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786070 | Charles Thaddious Taylor Jr. | Licensed Practical Nurse | 115 Chili Ave, Rochester, NY 14611-2604 | 2020-10-08 |
| 1831691740 | Charles Taylor | Behavioral Analyst | 196 Broyles Rd, Spring City, TN 37381-5406 | 2018-03-06 |
| 1265972368 | Charles Taylor | Counselor | 1200 6th Ave S, Jasper, AL 35501-4606 | 2017-03-08 |
| 1649607094 | Charles Reid Taylor | Speech-Language Pathologist | 109 Atlantic St, Jersey City, NJ 07304-2303 | 2013-10-01 |
| 1689911737 | Charles W Taylor IIi | Chiropractor | 703 E Market St, Scranton, PA 18509-1257 | 2013-01-09 |
| 1124376025 | Charles Taylor | Pharmacist | 84 Candlelite Dr, Almo, KY 42020-9526 | 2012-08-27 |
| 1255637476 | Charles Joel Taylor | Counselor | 8305 Se Monterey Ave Ste 111, Happy Valley, OR 97086-7753 | 2011-02-04 |
| 1245547595 | Charles D Taylor | Dentist | 24430 Gratiot, Eastpointe, MI 48021 | 2010-09-08 |
| 1184950610 | Charles David Taylor | Marriage & Family Therapist | 222 E Yanonali St Unit A, Santa Barbara, CA 93101-1855 | 2009-10-17 |
| 1407037369 | Charles W Taylor | Dentist | 1245 Southern Blvd., Bronx, NY 10459 | 2007-11-20 |
| Street Address |
1395 CENTER DR # D1-19 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164873485 | Juliana Sardenberg | Dentist | 1395 Center Dr # D1-19, Gainesville, FL 32610-6550 | 2016-06-28 |
| 1811451776 | Mailis Daelis Soler | Dentist | 1395 Center Dr # D1-19, Gainesville, FL 32610-3006 | 2019-01-24 |
| 1700386190 | Mohanad Atwa | Dentist | 1395 Center Dr # D1-19, Gainesville, FL 32610-3006 | 2018-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295239713 | Erick Evandro Di Matteo | Dentist | 1395 Center Dr # D1-d9, Gainesville, FL 32610-3006 | 2018-03-20 |
| 1033629894 | Swati Gupta | Dentist | Grad Perio Clinic 1395 Center Drive D1-19, Gainesville, FL 32610-0001 | 2017-10-06 |
| 1164873485 | Juliana Sardenberg | Dentist | 1395 Center Dr # D1-19, Gainesville, FL 32610-6550 | 2016-06-28 |
| 1659732824 | Frederico Duarte Da Silva | Dentist | 2300 Sw 43rd St Apt A6, Gainesville, FL 32607-3826 | 2016-03-15 |
| 1053709733 | Justin C. Craighead Dmd, Ms, Pl | Dentist | 3720 Nw 43rd St Ste 102, Gainesville, FL 32606-6190 | 2015-01-02 |
| 1215241039 | Daniel Ryan Noorthoek | Dentist | 453 Pumpkin Dr., Gainesville, FL 33410 | 2010-08-04 |
| 1164571162 | Joseph E. Barclay | Dentist | 1206b Sherwood Park Dr Ne, Gainesville, GA 30501-3445 | 2007-01-09 |
| 1407937808 | John Delano Mixon Sr. | Dentist | 1205 Sherwood Park Drive, Gainesville, GA 30501 | 2006-10-18 |
| 1497860902 | Caleb Jewett King IIi | Dentist | 5014 Nw 27th Ct, Gainesville, FL 32606-6545 | 2006-08-21 |
| 1710092036 | Richard Watson Oliver Jr. | Dentist | 5014 Nw 27th Court, Gainesville, FL 32606-6545 | 2006-08-19 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
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| 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.