NPI 1346867926 · live from the CMS NPI Registry
920 North Main Street Professional, PLLC
Dentist, General Practice in Taylor, TX. National Provider Identifier 1346867926, active.
NPI record
| NPI | 1346867926 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 920 N Main St, Taylor, TX 76574 |
| Practice phone | 512-352-5577 |
| Enumerated | June 30, 2020 |
| Last updated | June 30, 2020 |
| Authorized official | Peter Grumbos, Owner Dentist |
| Other names | Taylor Dental Associates & Ez Braces |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.