Scott W. Taylor D.D.S, P.C.
Clinic/Center, Dental in Marquette, MI. Organization (NPI-2).
Details
- NPI
- 1104569540
- Entity type
- Organization (NPI-2)
- Legal business name
- Scott W. Taylor D.D.S, P.C.
- Organization subpart
- No
- Enumeration date
- Apr 14, 2022
- Certification date
- May 9, 2022
- Last updated
- May 9, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
1055 W Fair AveMarquette, MI 49855-2665
Phone 906-228-6309 · Fax 906-264-5007
Mailing address
1055 W Fair AveMarquette, MI 49855-2665
Phone 906-228-6309 · Fax 906-264-5007
Authorized official
Krysta Jean Carroll
Assistant Office Manager
9062286309
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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