SCOTT A MINNIEAR DDS PC NPI 1962122689

NPI Information

  • NPI: 1962122689
  • Provider Name: SCOTT A MINNIEAR DDS PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 306 W WASHINGTON AVE STE 204
    JACKSON, MI
    ZIP 49201
  • Phone: (517) 787-8880

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NPI Details

SCOTT A MINNIEAR DDS PC is a dental clinic center in Jackson, MI. SCOTT A MINNIEAR DDS PC NPI is 1962122689. The provider is registered as an organization entity type.

The provider's business location address is:

306 W WASHINGTON AVE STE 204
JACKSON, MI
ZIP 49201-141
Phone: (517) 787-8880
Fax: (517) 787-8888

The provider's authorized official is Scott Alan Minniear .
The authorized official title is Owner and has the following contact phone number (517) 787-8880.

The enumeration date for this NPI number is 9/1/2022 and was last updated on 9/1/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

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: 11/21/2025

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