KYLE TAYLOR DDS PLLC (NPI# 1912373242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912373242 |
| Entity Type | Organization |
| Organization Name | KYLE TAYLOR DDS PLLC |
| Other Organization Name | DISTINCTIVELY DENTAL |
| Practice Address |
4622 Country Club Rd Ste. 280 Winston Salem NC 27104-3769 |
| Mailing Address |
4622 Country Club Rd Suite 280 Winston Salem NC 27104-3769 |
| Practice Telephone | 7045603582 |
| Mailing Telephone | 7045603582 |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2016-06-01 |
| Authorized Official Name | DR. KYLE W TAYLOR (MEMBER-MANAGER) |
| Authorized Official Telephone | 7045603582 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5190 | NC | Dental Providers |
| Other Name | Type Code |
|---|---|
| Distinctively Dental | Doing Business As Name - Organization |
| Street Address |
4622 COUNTRY CLUB RD STE. 280 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27104-3769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891771879 | Bruce Douglas Walley | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3770 | 2005-12-21 |
| 1669097903 | Drs J Loveland and R Walker II, Pllc | Clinic/Center | 4622 Country Club Rd, Winston Salem, NC 27104-3769 | 2020-06-12 |
| 1649715525 | Jessica N Bonham | Physician Assistant | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3769 | 2016-12-30 |
| 1427315878 | Novant Medical Group, Inc | Surgery | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3770 | 2012-04-23 |
| 1831402791 | Lindsay Scales Morgan | Physician Assistant | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3769 | 2010-07-21 |
| 1184828030 | Samuel Porter Jacks | Surgery | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3769 | 2007-06-13 |
| 1487868378 | Ronald William Logan Jr. | Dentist | 4622 Country Club Rd, Suite 240, Winston Salem, NC 27104 | 2007-05-09 |
| 1982790846 | Kyle W Taylor | Dentist | 4622 Country Club Rd, Suite 280, Winston Salem, NC 27104-3769 | 2006-10-05 |
| 1902909328 | Forsyth Cardiac & Vascular Surgeons, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3770 | 2006-09-07 |
| 1104802164 | Joel Clarence Morgan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4622 Country Club Rd, Suite 180, Winston Salem, NC 27104-3770 | 2005-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447807664 | Cameron Grant Ford | Psychologist | 614 Country Club Road, Winston-salem, NC 27104 | 2019-08-22 |
| 1104310374 | Novant Medical Group, Inc. | Internal Medicine | 4937 Old Country Club Rd, Winston Salem, NC 27104 | 2018-06-20 |
| 1982100509 | Dillon James Magalski | Student in an Organized Health Care Education/Training Program | Piedmont Plaza 1, 1920 West First Street, Wake Forest Baptist Medical Center, Winston-salem, NC 27104 | 2018-04-03 |
| 1891290144 | Breann M Poling | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Department Of, Family Medicine Piedmont Plaza I 1920 West First Street, Winston Salem, NC 27104 | 2018-03-28 |
| 1689178600 | Christopher Vasil | Student in an Organized Health Care Education/Training Program | Piedmont Plaza I, 1920 West First Street, Department of Family Medicine, Winston Salem, NC 27104 | 2018-03-23 |
| 1407379126 | April Lynn Lowe | Registered Nurse | 940 N Peace Haven Rd, Winstonsalem, NC 27104 | 2017-07-25 |
| 1164950804 | Donald Joyce | Student in an Organized Health Care Education/Training Program | 1920 West First St, Piedmont Plaza I Building, 3rd Floor, Winston-salem, NC 27104 | 2017-05-25 |
| 1255867289 | Benjamin Hansen | Pharmacist | 2150 Country Club Rd Ste 300, Winston Salem, NC 27104 | 2017-05-11 |
| 1770020976 | Jane Reed | Physical Medicine & Rehabilitation | 2627 E Greenbrier Road, Winston Salem, NC 27104 | 2017-01-25 |
| 1053728261 | Ashraf Alsaedi | Pharmacist | 1659 Stratford Rd Nw, Winston Salem, NC 27104 | 2014-07-20 |
| Find all providers in zip 27104 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548824907 | Hyung Won Lee | Dentist | 4550 Country Club Rd, Winston Salem, NC 27104-3518 | 2019-04-30 |
| 1396308268 | Willardean Carroll Jordandula | Dentist | 3200 Cumberland Rd, Winston Salem, NC 27105-3303 | 2019-04-17 |
| 1003307703 | Lisa R. Gaither Dmd P.a. | Dentist | 1027 Hanes Mall Blvd, Winston Salem, NC 27103-1310 | 2018-05-29 |
| 1033600382 | Alterman & Dhillon Piedmont, Pplc | Dentist | 336 E Hanes Mill Rd, Winston Salem, NC 27105 | 2018-05-22 |
| 1659727535 | Barry Devon Price | Dentist | 755 Highland Oaks Dr Ste 106, Winston Salem, NC 27103-7106 | 2016-05-10 |
| 1205295680 | Kia Johnson | Dentist | 2101 Peters Creek Pkwy Ste 16-19, Winston Salem, NC 27127 | 2016-02-15 |
| 1982009114 | William R. Warren Dds, Pa | Dentist | 2606 New Walkertown Rd., Winston Salem, NC 27101 | 2014-10-30 |
| 1447679956 | Andrew C Geer, Dds Pllc | Dentist | 3244 Reynolda Rd, Winston Salem, NC 27106-3040 | 2014-04-11 |
| 1588080469 | Kimberly Pinyan | Dentist | 4712 Country Club Rd Ste C, Winston Salem, NC 27104-3749 | 2014-03-14 |
| 1053752055 | Katelyn Joyce Henderson | Dentist | 1480 Rymco Dr Ste A, Winston Salem, NC 27103-3072 | 2013-07-08 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27104 |
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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.