Most Relevant Information
Provider Data
| NPI Number: | 1003291162 |
| Provider Name: | HEATHER DANIELLE TAYLOR DMD |
| Entity Type: | Individual |
| Taxonomy Code: | 122300000X |
| Specialty: | Dentist |
| License Number: | 019030243 |
Most Important Dates
| Enumeration Date: | 07/29/2015 |
| Last Updated: | 09/23/2020 |
Provider Practice Location
1170 BELT LINE RD
COLLINSVILLE
IL
622344372
Practice Location Phone/Fax
| Phone: | 6183451400 |
| Fax: | 6183441401 |
Provider Mailing Location
1170 BELT LINE RD
COLLINSVILLE
IL
622344372
Provider Mailing Phone/Fax
| Phone: | 6183451400 |
| Fax: | 6183441401 |