Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750467957 Individual Practitioner Female Practitioner

Dr. Amy L Taylor , DDS

Dentist • Maxwell Afb, AL

Professional Overview & Biography Verified Profile Summary

Dr. Amy Taylor, DDS is a certified Dentist practicing in Maxwell Afb, AL. With approximately 23 years of clinical experience since graduating from Ohio State University College Of Dentistry in 2003, Dr. Taylor delivers high-quality medical care to the local community at 42D MEDICAL GROUP.

Dr. Taylor does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

42d Medical Group
300 S. Twinning St. Bldg 760

Maxwell Afb, AL 36112

Telephone 5134603877

Medicare Profile & Education

Medical School

Ohio State University College Of Dentistry

Graduation Year

2003

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Maxwell Afb, AL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs Matches City Avg
City Avg: 23.0 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
9 Specialists

Practicing in Maxwell Afb, AL (894 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Taylor (23 Years) 23 Yrs
Maxwell Afb Specialty Average (23.0 Years) 23.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-01-12
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NM DD4884

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License OH 30021784

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2417763 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Ross Canup , MD

Family Medicine

NPI 1013367333

Doctor of Medicine (M.D.)

NPI 1164482956

Doctor of Optometry

Katlyn Gorgus

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1174249981
Dr. Jolyn Tatum , PhD

Psychologist - Health

NPI 1265674709

Doctor of Philosophy (Ph.D.)

Christopher Kelly , FNP-C APRN, MSN, MSM

Nurse Practitioner - Family

NPI 1558605337

FNPCAPRN, Master of Science in Nursing, MSM

Randi Hughey , LICSW

Social Worker - Clinical

NPI 1619516523

Licensed Independent Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location January 29, 2021

Registered at 42D MEDICAL GROUP, 300 S. TWINNING ST. BLDG 760, MAXWELL AFB, AL 36112 (Tel: 5134603877)

📍
Updated Business Mailing Address January 29, 2021

Registered at 42D MEDICAL GROUP, 300 S TWINNING ST. BLDG. 760, MAXWELL AFB, AL 36112 (Tel: 3349533368)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2021

Dentist (License #DD4884 in NM)

📍
Updated Practice Location March 07, 2019

Registered at 663 BISHOPS LODGE RD APT 43, SANTA FE, NM 875011101 (Tel: 5134603877)

📍
Updated Business Mailing Address March 07, 2019

Registered at 663 BISHOPS LODGE RD APT 43, SANTA FE, NM 875011101 (Tel: 5134603877)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 15580 US RT 36 EAST, MARYSVILLE, OH 43040 (Tel: 9376421151)

📍
Updated Business Mailing Address July 08, 2007

Registered at 15580 US RT 36 EAST, MARYSVILLE, OH 43040 (Tel: 9376421151)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as AMY TAYLOR, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #30021784 in OH)

🟢
Initial NPI Registration & Enumeration October 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1750467957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2006
Last Update: January 29, 2021
Sole Proprietor: No

Mailing Address

42d Medical Group, 300 S Twinning St. Bldg. 760

Maxwell Afb, AL 36112

Phone: 3349533368

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.