| Todd S Scott Dds Pc | |
|
2716 Forum Blvd Ste 1 Columbia MO 65203-5450 | |
| (573) 446-3709 | |
| (573) 446-0861 |
| Full Name | Todd S Scott Dds Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2716 Forum Blvd Ste 1, Columbia, Missouri |
| Authorized Official Name and Position | Todd Donald Scott (OWNER) |
| Authorized Official Contact | 5734463709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Todd S Scott Dds Pc 2716 Forum Blvd Ste 1 Columbia MO 65203-5450 Ph: (573) 446-3709 | Todd S Scott Dds Pc 2716 Forum Blvd Ste 1 Columbia MO 65203-5450 Ph: (573) 446-3709 |
| NPI Number | 1861906711 |
|---|---|
| Provider Enumeration Date | 11/29/2017 |
| Last Update Date | 11/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861906711 | NPI | - | NPPES |
| 1558473108 | Other | MO | NPI-TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 015928 (Missouri) | Primary |
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