Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952091605 Individual Practitioner Male Practitioner

Dr. Leo Taylor , DMD

Dentist - General Practice • Ocean Park, WA

Professional Overview & Biography Verified Profile Summary

Dr. Leo Taylor, DMD is a registered healthcare professional specializing in Dentist - General Practice in Ocean Park, WA. Practice services are available at 21610 PACIFIC WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21610 Pacific Way

Ocean Park, WA 986403206

Telephone 3606653000
Fax 3606653096
Associated Practice Facility / Clinic
🏢 Cowlitz Family Health Center Facility NPI 1891856142

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Ocean Park, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
2 Specialists

Practicing in Ocean Park, WA (3345 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: 2025-09-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE70032815

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

7 Associated Practitioners
Patrice Johnell , MSN, FNP-BC

Nurse Practitioner - Family

NPI 1053640656

Master of Science in Nursing, Family Nurse Practitioner (Board Certified)

Dr. Nathan Miller , DDS

Dentist - General Practice

NPI 1104293877

Doctor of Dental Surgery

Terri Miller , ARNP

Nurse Practitioner - Family

NPI 1225044456

Advanced Registered Nurse Practitioner

NPI 1245726694

Bachelor of Science in Nursing, Doctor of Nursing Practice, Nurse Practitioner (Certified)

Dr. Jerome March , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1467085324

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

Deborah Hoenig

Nurse Practitioner - Family

NPI 1508222019

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 24, 2025

Registered at 21610 PACIFIC WAY, OCEAN PARK, WA 986403206 (Tel: 3606653000)

📍
Updated Business Mailing Address September 24, 2025

Registered at 1057 12TH AVE, LONGVIEW, WA 986322509 (Tel: 3606653000)

👤
Provider Name / Credentials Updated September 24, 2025

Recorded as LEO TAYLOR, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2025

Dentist (License #DE70032815 in WA)

NPI Profile Active May 08, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 08, 2023

Registered at 309 E 2ND ST, POMONA, CA 917661854 (Tel: 9096236116)

📍
Updated Business Mailing Address May 08, 2023

Registered at 1883 CLUB DR, POMONA, CA 917681290 (Tel: 7209343724)

👤
Provider Name / Credentials Updated May 08, 2023

Recorded as LEO TAYLOR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 08, 2023

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: 1952091605
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2023
Last Update: September 24, 2025
Sole Proprietor: No

Mailing Address

1057 12th Ave

Longview, WA 986322509

Phone: 3606653000

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.