IndividualActive
Jack Taylor, DMD
NPI 1386753044 · Dentist · Chipley, FL
Provider details
- NPI number
- 1386753044
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DN12801 (FL)
Specialties & taxonomies
Dental Providers
Practice location
843 Hwy 277
Chipley, FL 32428
Phone: (850) 638-3055
Fax: (850) 638-3056
Approximate (ZIP-level) locationGet directions
Mailing address
843 Hwy 277
Chipley, FL 32428
Registry dates
- Enumerated
- 2006-08-29
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.