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SCOTTSBURG FAMILY DENTISTRY LLC NPI 1790245504


NPI Information

NPI: 1790245504
Provider Name: SCOTTSBURG FAMILY DENTISTRY LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1366 N GARDNER ST
SCOTTSBURG, IN
ZIP 47170
Phone: (812) 752-3524
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SCOTTSBURG FAMILY DENTISTRY LLC is a general practice dentist in Scottsburg, IN. The provider is 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. SCOTTSBURG FAMILY DENTISTRY LLC NPI is 1790245504. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1366 N GARDNER ST
SCOTTSBURG, IN
ZIP 47170-793
Phone: (812) 752-3524

The provider's authorized official is William R Little .
The authorized official title is Co-owner and has the following contact phone number (870) 243-4406.

The enumeration date for this NPI number is 3/20/2019 and was last updated on 3/20/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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