Kelly Eldon Taylor, DMD | |
860 S 2nd Ave, Suite A, Walla Walla, WA 99362-4072 | |
(509) 529-2000 | |
(509) 529-4590 |
Full Name | Kelly Eldon Taylor |
---|---|
Gender | Male |
Speciality | Dentist - Prosthodontics |
Location | 860 S 2nd Ave, Walla Walla, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467403253 | NPI | - | NPPES |
171037 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | DE00008680 (Washington) | Primary |
1223P0700X | Dentist - Prosthodontics | D8732 (Oregon) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Kelly Eldon Taylor, DMD 52 Donrita Ct, Walla Walla, WA 99362-8018 Ph: (509) 593-4739 | Kelly Eldon Taylor, DMD 860 S 2nd Ave, Suite A, Walla Walla, WA 99362-4072 Ph: (509) 529-2000 |
Mr. Chad T. Ordelheide, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 Penny Ln, Walla Walla, WA 99362 Phone: 509-525-2752 Fax: 509-525-9063 | |
Dr. Dwight Layne Johnson, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1129 S 2nd Ave Ste D, Walla Walla, WA 99362 Phone: 509-516-1200 Fax: 509-516-1209 | |
Dr. Julie M Kellogg, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1602 Penny Ln, Walla Walla, WA 99362 Phone: 509-522-0940 Fax: 509-525-9063 | |
Nadia Farjo, DMD MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 614 E Alder St Ste 2, Walla Walla, WA 99362 Phone: 206-948-1249 | |
Fnu Nisina, Dentist Medicare: Medicare Enrolled Practice Location: 1120 W Rose St, Walla Walla, WA 99362 Phone: 509-525-6650 | |
Dr. Richard Jon Sundberg, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 S 3rd Ave, Walla Walla, WA 99362 Phone: 509-529-3762 Fax: 509-529-7622 | |
Michael Philip Holman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 850 Juniper St, Walla Walla, WA 99362 Phone: 509-525-1104 |