DR. Taylor Paul Ericksen, D.M.D.

NPI #1326423872 in South Ogden, Utah

Provider Information

NPI Number: 1326423872
Entity Type: Individual
Name: DR. Taylor Paul Ericksen, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jul 27, 2015
Last Updated: Jun 10, 2019

Practice Location

Address: 5974 FASHION POINT DR
City: South Ogden
State: Utah
ZIP Code: 84403
Phone: (801) 475-6121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary
Dentist - General Practice — General Practice	1223G0001X

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