# GUADALUPE WOOSTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Scott Dental Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033831094
- **Authorized official:** DR. TYLER SCOTT DDS (PRESIDENT)
- **Authorized official phone:** (330) 439-3261

## Contact information

- **Practice address:** 178 E MILLTOWN RD, WOOSTER, OH 44691-1244
- **Practice address phone:** (330) 439-3261
- **Mailing address:** 1521 EDEN DR, WOOSTER, OH 44691-2245
- **Mailing address phone:** (330) 439-3261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/16/2022
- **Last updated:** 09/16/2022