Provider Demographics
NPI:1730742867
Name:HARPER, TAYLOR GUILLET (DDS)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:GUILLET
Last Name:HARPER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 TOOKER AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07081-1723
Mailing Address - Country:US
Mailing Address - Phone:985-630-7201
Mailing Address - Fax:
Practice Address - Street 1:87 BEAVER AVE
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809-1085
Practice Address - Country:US
Practice Address - Phone:908-437-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-15
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6960122300000X
NJ22DI02934500122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist