Spencer Antoine Taylor, DMD is a
Dentist based in Jay, Florida. Spencer Antoine Taylor is licensed to practice in Florida (license number DN28242) and his current practice location is
5285 Commerce St, Jay, Florida. He can be reached at his office (for appointments etc.) via phone at
(850) 675-8545.
NPI number for Spencer Antoine Taylor is 1083399489 and his current mailing address is 7675 Gumbo Ave, Pace, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083399489.
Healthcare Provider's Profile
| Full Name | Spencer Antoine Taylor |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 5285 Commerce St, Jay, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083399489
- Provider Enumeration Date: 06/21/2023
- Last Update Date: 06/21/2023
Medical Identifiers
Medical identifiers for Spencer Antoine Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083399489 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DN28242 (Florida) | 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. Spencer Antoine Taylor is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Spencer Antoine Taylor, DMD
7675 Gumbo Ave,
Pace, FL 32571-9853
Ph: (850) 602-5676 | Spencer Antoine Taylor, DMD
5285 Commerce St,
Jay, FL 32565-1179
Ph: (850) 675-8545 |
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