Dr Gregory David Taylor, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Southlake, Texas. His current practice location is
1422 Main St, Suite 240, Southlake, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 424-1166.
Dr Gregory David Taylor is licensed to practice in Texas (license number L5584) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851358956.
Healthcare Provider's Profile
| Full Name | Dr Gregory David Taylor |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 1422 Main St, Southlake, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1851358956
- Provider Enumeration Date: 05/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0648560623
- Enrollment ID: I20160602002451
Medical Identifiers
Medical identifiers for Dr Gregory David Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851358956 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 20815 (Texas) | Primary |
| 204E00000X | Oral & Maxillofacial Surgery | L5584 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gregory David Taylor is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Gregory David Taylor, MD, DDS
1422 Main St, Suite 240,
Southlake, TX 76092-7625
Ph: (817) 424-1166 | Dr Gregory David Taylor, MD, DDS
1422 Main St, Suite 240,
Southlake, TX 76092-7625
Ph: (817) 424-1166 |
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