Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053748228 Individual Practitioner Female Practitioner

Dr. Amanda Tinesha Taylor , DDS

Dentist - General Practice • Waldorf, MD

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Taylor, DDS is a registered healthcare professional specializing in Dentist - General Practice in Waldorf, MD. Practice services are available at 117 SAINT PATRICKS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

117 Saint Patricks Dr

Waldorf, MD 206034574

Telephone 3018704553
Associated Practice Facility / Clinic
🏢 Neibauer Dental Care, Pc Facility NPI 1407123045

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waldorf, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
51 Specialists

Practicing in Waldorf, MD (2555 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

CMS Verified: 2020-02-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 17231

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License TX 29790

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License VA 0401416758

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

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

12 Associated Practitioners
Dr. Rimple Singh , DDS

Dentist - General Practice

NPI 1033207956

Doctor of Dental Surgery

NPI 1114281391

Doctor of Dental Surgery

Dr. Todd Bickling , DDS

Dentist - General Practice

NPI 1538257365

Doctor of Dental Surgery

Dr. Bhavinkumar Patel , DDS

Dentist - General Practice

NPI 1558569012

Doctor of Dental Surgery

NPI 1588790570

Doctor of Dental Surgery

Dr. Sunny Allen , DDS

Dentist - Prosthodontics

NPI 1619167020

Doctor of Dental Surgery

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location February 22, 2020

Registered at 117 SAINT PATRICKS DR, WALDORF, MD 206034574 (Tel: 3018704553)

📍
Updated Business Mailing Address February 22, 2020

Registered at 15046 BARNES MEADOWS CT, WOODBRIDGE, VA 221933188 (Tel: 9192605850)

👤
Provider Name / Credentials Updated February 22, 2020

Recorded as AMANDA TAYLOR, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2020

Dentist (License #29790 in TX)

NPI Profile Active October 03, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 03, 2013

Registered at 4500 S LANCASTER RD, DENTAL SERVICE (160), DALLAS, TX 752167167 (Tel: 2148571083)

📍
Updated Business Mailing Address October 03, 2013

Registered at 821 ALLEN ST, APARTMENT #445, DALLAS, TX 752045761 (Tel: 9192605850)

👤
Provider Name / Credentials Updated October 03, 2013

Recorded as AMANDA STEPHENS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2013

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration October 03, 2013

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: 1053748228
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2013
Last Update: February 22, 2020
Sole Proprietor: No

Mailing Address

15046 Barnes Meadows Ct

Woodbridge, VA 221933188

Phone: 9192605850

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.