Scott Ellard Dentistry

NPI 1124098942 - Dentist - 122300000X

NPI Details
NPI 1124098942
Enumeration Date 01/24/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SCOTT F SCOTT
Position OWNER
Phone (269) 329-1880
Fax (269) 329-1886
Practice Location
5835 OAKLAND DRIVE
PORTAGE MI, 49024, US
Phone (269) 329-1880
Fax (269) 329-1886
Business Location
5835 OAKLAND DRIVE
PORTAGE MI, 49024, US
Phone (269) 329-1880
Fax (269) 329-1886
Toxanomy
Taxonomy Code 122300000X
License State Michigan
License Number 12873
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According to our database, Scott Ellard Dentistry NPI is 1124098942, taxonomy code is 122300000X and license number is 12873, license state is located at Michigan. Scott Ellard Dentistry physically located at 5835 Oakland Drive, Portage MI, 49024. NPI Number 1033115704 has the healthcare provider type.

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1124098942 NPI number is provided on an as is basis without warranty of any kind. 1124098942 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Ellard Dentistry are for informational purposes only.