Leo Taylor, DMD is a
Dentist - General Practice based in Ocean Park, Washington. Leo Taylor is licensed to practice in Washington (license number DE70032815) and his current practice location is
21610 Pacific Way, Ocean Park, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 665-3000.
NPI number for Leo Taylor is 1952091605 and his current mailing address is 1057 12th Ave, Longview, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952091605.
Healthcare Provider's Profile
| Full Name | Leo Taylor |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 21610 Pacific Way, Ocean Park, Washington |
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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: 1952091605
- Provider Enumeration Date: 05/08/2023
- Last Update Date: 09/24/2025
Medical Identifiers
Medical identifiers for Leo Taylor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952091605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DE70032815 (Washington) | 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. Leo 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 |
|---|
Leo Taylor, DMD
1057 12th Ave,
Longview, WA 98632-2509
Ph: (360) 665-3000 | Leo Taylor, DMD
21610 Pacific Way,
Ocean Park, WA 98640-3206
Ph: (360) 665-3000 |
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