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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TAYLOR L USITALO, DDS

Active

DR. TAYLOR L USITALO, DDS is a Orthodontics healthcare provider located in SANTA FE, New Mexico. NPI 1962934612 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · SANTA FE, NM

Registration Details

NPI Number
1962934612
Provider Type
Individual
Gender
Male
NPI Issued
Mar 31, 2017 (9.3554091052736 yrs)
Last Updated
Jul 19, 2019
Licenses
DD0000 (NM)
DD0000 (NM)
DD4663 (NM)

Practice Information

Address
2027 CERRILLOS RD
SANTA FE, NM, 875053269
Browse NM providers · Browse ZIP 87505
Phone
5058201212
Fax
5058201218
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics
Additional Specialty
Orthodontics

Other Orthodontics Providers in SANTA FE, NM

Name Credential NPI
DR. STEPHEN TANNER D.D.S. 1134148935
DR. CLARICE K PICK D.D.S. 1881767093
DR. PETER MARSHALL SPALDING D.D.S., M.S., M.S. 1588718688
DR. DANIEL M MEYERS DDS, MS 1578602116
DR. STEPHEN A KELLAM DMD, MS 1609916378
DR. WILLIAM ANDREW SCHACKEL DDS 1477684843
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.