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Deactivated NPI 1689889560 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Lincoln Taylor , DDS

Dentist - General Practice • Pacoima, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Taylor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 13, 2007
NPI Deactivation Date August 30, 2017
Total Practice Duration ~10 Years of Practice (2007 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Taylor, DDS was a registered Dentist - General Practice practicing in Pacoima, CA. Throughout an active medical career spanning 10 years, Dr. Taylor provided care at the practice location at 10911 TELFAIR AVE until profile deactivation on 2017-08-30.

Practice Location & Contact Primary Location

Practice Address

10911 Telfair Ave

Pacoima, CA 913312821

Telephone 8188990021
Fax 8188961074

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pacoima, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
17 Specialists

Practicing in Pacoima, CA (18734 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

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 09721

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Poppy The , DDS

Dentist - Pediatric Dentistry

NPI 1992911408

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated August 30, 2017

Record deactivated on August 30, 2017

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 10911 TELFAIR AVE, PACOIMA, CA 913312821 (Tel: 8188990021)

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Updated Business Mailing Address July 08, 2007

Registered at 17445 CANTLAY ST, VAN NUYS, CA 914062455 (Tel: 8185213208)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT TAYLOR, DDS

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

Dentist (License #09721 in CA)

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Initial NPI Registration & Enumeration May 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689889560
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2007
Last Update: July 08, 2007
Deactivation Date: August 30, 2017

Mailing Address

17445 Cantlay St

Van Nuys, CA 914062455

Phone: 8185213208

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.