Scott Dental Group L L C is a medicare enrolled dental clinic (Clinic/center - Dental) in Loudonville, Ohio. The current practice location for Scott Dental Group L L C is 633 N Union St, Loudonville, Ohio. For appointments, you can reach them via phone at
(419) 994-3111. The mailing address for Scott Dental Group L L C is 633 N Union St, Loudonville, Ohio and phone number is (419) 994-3111.
Scott Dental Group L L C is licensed to practice in Ohio (license number 16373). The clinic also participates in the medicare program and its
NPI number is 1073828786. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(419) 994-3111.
Dental Care Clinic Profile
| Full Name | Scott Dental Group L L C |
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| Speciality | Clinic/Center |
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| Location | 633 N Union St, Loudonville, Ohio |
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| Authorized Official Name and Position | Darrel L Scott (OWNER) |
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| Authorized Official Contact | 4199943111 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Scott Dental Group L L C
633 N Union St
Loudonville
OH 44842-1074
Ph: (419) 994-3111 | Scott Dental Group L L C
633 N Union St
Loudonville
OH 44842-1074
Ph: (419) 994-3111 |
NPI Details:
| NPI Number | 1073828786 |
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| Provider Enumeration Date | 08/18/2010 |
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| Last Update Date | 08/18/2010 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 3173930617 |
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| Medicare Enrollment ID | O20210329001077 |
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Medical Identifiers
Medical identifiers for Scott Dental Group L L C such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073828786 | NPI | - | NPPES |
| 2969097 | Medicaid | OH | |
| 0436611 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QD0000X | Clinic/center - Dental | 16373 (Ohio) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Scott Dental Group L L C acts as a billing entity for following providers:
| Provider Name | Tyler Lynn Scott |
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| Provider Type | Practitioner - Dentist |
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| Provider Identifiers | NPI Number: 1174752992
PECOS PAC ID: 4082021522
Enrollment ID: I20210420001456 |
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