# DR. SCOTTY L BOLDING

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1013064310
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 16037 | TX | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22D102335600 | NJ | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 3025 | AR | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | DN22477 | FL | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 16037 | TX | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 2001031902 | MO | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 22D102335600 | NJ | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | 3025 | AR | — |
| 204E00000X | Oral & Maxillofacial Surgery (D.M.D.) | DN22477 | FL | — |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 05/12/2023