Tristan Taylor, D.D.S.

Dentist · Victor, ID

Individual Active NPI

NPI number 1770870784

Practice location

7726 Lupine Ln
Victor, ID 83455-5116
Phone
(208) 787-8100
Fax
(208) 787-8101

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NPI record

NPI
1770870784
Entity type
Individual (Type 1)
Enumeration date
June 29, 2011
Last updated
March 12, 2024
Certified
March 12, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D-4518 ID
Dentist 122300000X 6301 OK

About Dr. Taylor

Tristan Taylor, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 7726 Lupine Ln, Victor, ID 83455-5116. The NPI number 1770870784 was assigned on June 29, 2011 and the record was last updated on March 12, 2024.

Dr. Taylor lists 2 licenses in the registry: #D-4518 (ID) for Dentist; #6301 (OK) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Tristan Taylor, D.D.S.?

The NPI number is 1770870784.

What is the phone number of Dr. Taylor?

The phone number listed for the practice location is (208) 787-8100.

Where is Dr. Taylor located?

7726 Lupine Ln, Victor, ID 83455-5116.

What is the taxonomy code for Dr. Taylor?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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