Individual provider · NPI-1

Dr. Taylor Taekiu Bou, DDS

Dentist, General Practice · Middletown, NY

NPI number1306937008
StatusActive
Last updated in NPPESJul 30, 2026

Details

NPI
1306937008
Entity type
Individual (NPI-1)
Name
Dr. Taylor Taekiu Bou
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Sep 27, 2006
Certification date
Jul 30, 2026
Last updated
Jul 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice049304-1NYYes

Practice location

510 E Main St
Middletown, NY 10940-2632

Phone 845-294-8089 · Fax 845-381-5188

Mailing address

510 E Main St
Middletown, NY 10940-2632

Phone 845-294-8089 · Fax 845-381-5188

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