Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY ELDON TAYLOR, D.M.D
ActiveKELLY ELDON TAYLOR, D.M.D is a Pediatric Dentistry healthcare provider located in WALLA WALLA, Washington. NPI 1467403253 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · WALLA WALLA, WA
Registration Details
- NPI Number
- 1467403253
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2006 (20.280696723116 yrs)
- Last Updated
- May 31, 2011
- Licenses
-
DE00008680 (WA)D8732 (OR)
Practice Information
- Address
-
860 S 2ND AVESUITE AWALLA WALLA, WA, 993624072Browse WA providers · Browse ZIP 99362
- Phone
- 5095292000
- Fax
- 5095294590
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
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.