Mark Alan Scantlan D.D.S.

NPI 1457575094 - Dentist - 122300000X

NPI Details
NPI 1457575094
Gender Male
Enumeration Date 04/13/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
675 DUNSFORD DR
SULLIVAN MO, 63080-1267, US
Phone (573) 468-2774
Fax (573) 468-2008
Business Location
675 DUNSFORD DR
SULLIVAN MO, 63080-1267, US
Phone (573) 468-2774
Fax (573) 468-2008
Toxanomy
Taxonomy Code 122300000X
License State Missouri
License Number MO14700
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According to our database, Dr. Mark Alan Scantlan D.D.S. NPI is 1457575094, taxonomy code is 122300000X and license number is MO14700, license state is located at Missouri. Mark Alan Scantlan D.D.S. physically located at 675 Dunsford Dr, Sullivan MO, 63080-1267. NPI Number Mark Alan Scantlan D.D.S. has the Individual type.

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1457575094 NPI number is provided on an as is basis without warranty of any kind. 1457575094 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Alan Scantlan D.D.S. are for informational purposes only.