Provider Demographics
NPI:1831085380
Name:SWIM, TAYLOR (DDS)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:SWIM
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4165 SPRING VALLEY ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:MO
Mailing Address - Zip Code:63050-2638
Mailing Address - Country:US
Mailing Address - Phone:314-724-7717
Mailing Address - Fax:
Practice Address - Street 1:3608 JEFFCO BLVD
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MO
Practice Address - Zip Code:63010-3920
Practice Address - Country:US
Practice Address - Phone:636-464-1008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20250213211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice