# SCOTT DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023374287
- **Authorized official:** DR. BRADLEY D. SCOTT DDS (DENTIST)
- **Authorized official phone:** (480) 924-3446

## Contact information

- **Practice address:** 5151 E BROADWAY RD, SUITE \#101, MESA, AZ 85206-1346
- **Practice address phone:** (480) 924-3446
- **Mailing address:** 5151 E BROADWAY RD, SUITE \#101, MESA, AZ 85206-1346
- **Mailing address phone:** (480) 924-3446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2884 | AZ | Yes |

## Other

- **Enumeration date:** 04/02/2012
- **Last updated:** 04/02/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2884 | DENTAL LICENCE | AZ |