Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TRISTAN TAYLOR, D.D.S.
Active Sole ProprietorMR. TRISTAN TAYLOR, D.D.S. is a Dentist healthcare provider located in VICTOR, Idaho. NPI 1770870784 is currently active in the NPPES registry. Verify at CMS.
Dentist · VICTOR, ID
Registration Details
- NPI Number
- 1770870784
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 29, 2011 (15.098380378145 yrs)
- Last Updated
- Mar 12, 2024
- Licenses
-
6301 (OK)D-4518 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
7726 LUPINE LNVICTOR, ID, 834555116Browse ID providers · Browse ZIP 83455
- Phone
- 2087878100
- Fax
- 2087878101
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in VICTOR, ID
| Name | Credential | NPI |
|---|---|---|
| ELMER RAYMOND CHERRY IV | D.D.S | 1861621278 |
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.