| Tracy N Taylor Dmd., Pc | |
|
202 E Locust St Fairbury IL 61739-1649 | |
| (815) 692-4247 | |
| Not Available |
| Full Name | Tracy N Taylor Dmd., Pc |
|---|---|
| Speciality | Dentist |
| Location | 202 E Locust St, Fairbury, Illinois |
| Authorized Official Name and Position | Tracy N Taylor (DENTIST) |
| Authorized Official Contact | 8156924247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy N Taylor Dmd., Pc 202 E Locust St Fairbury IL 61739-1649 Ph: (815) 692-4247 | Tracy N Taylor Dmd., Pc 202 E Locust St Fairbury IL 61739-1649 Ph: (815) 692-4247 |
| NPI Number | 1417214990 |
|---|---|
| Provider Enumeration Date | 04/20/2012 |
| Last Update Date | 04/20/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417214990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019-022786 (Illinois) | Primary |