Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAYLOR PHAM
ActiveDentist · EAST PEORIA, IL
Registration Details
- NPI Number
- 1124689138
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 21, 2019 (6.8744924576819 yrs)
- Last Updated
- Jun 21, 2019
- License
-
019032199 (IL)
Practice Information
- Address
-
368 W WASHINGTON STEAST PEORIA, IL, 616112036Browse IL providers · Browse ZIP 61611
- Phone
- 3096944444
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in EAST PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JACK GLENN WALZ | DDS | 1427166008 |
| MICHAEL CONNOLLY | — | 1487921490 |
| DR. MICHAEL NORMAN GABOR | D.D.S. | 1073888079 |
| DR. THOMAS R NALEPKA | D.D.S. | 1326309188 |
| CHRISTOPHER WEBB | DMD | 1669812103 |
| DR. LYNDON ANDREWS | — | 1346697380 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.