Provider Demographics
NPI:1770468712
Name:TAYLOR STREET DENTAL GPS PLLC
Entity type:Organization
Organization Name:TAYLOR STREET DENTAL GPS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:
Authorized Official - First Name:HUNTER
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-781-7645
Mailing Address - Street 1:41 TAYLOR ST , 4TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01103-1332
Mailing Address - Country:US
Mailing Address - Phone:413-781-7645
Mailing Address - Fax:
Practice Address - Street 1:41 TAYLOR ST, 4TH FLOOR
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-1332
Practice Address - Country:US
Practice Address - Phone:413-781-7645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-08
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty