Scott Family Dentistry | |
716 W. South Street Benton AR 72015 | |
(501) 778-8201 | |
Not Available |
Full Name | Scott Family Dentistry |
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Speciality | Dentist - General Practice |
Location | 716 W. South Street, Benton, Arkansas |
Authorized Official Name and Position | Timothy Brian Scott (GENERAL DENTIST) |
Authorized Official Contact | 5017788201 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Scott Family Dentistry 716 W. South Street Benton AR 72015 Ph: (501) 778-8201 | Scott Family Dentistry 716 W. South Street Benton AR 72015 Ph: (501) 778-8201 |
NPI Number | 1700021292 |
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Provider Enumeration Date | 12/11/2008 |
Last Update Date | 12/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700021292 | NPI | - | NPPES |
134921608 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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