IndividualActive
Jeffery Taylor, D.M.D.
NPI 1588747737 · Periodontics · Gulfport, MS
Provider details
- NPI number
- 1588747737
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2649 (MS)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
431 Security Sq
Gulfport, MS 39507-1922
Phone: (228) 896-4325
Fax: (228) 896-5787
Approximate (ZIP-level) locationGet directions
Mailing address
1122 Demourelle Rd
Pass Christian, MS 39571-4224
Registry dates
- Enumerated
- 2006-10-23
- 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.