# KEVIN SCOTTI DDS

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

## Provider details

- **NPI number:** 1487110813
- **Authorized official:** DR. KEVIN SCOTTI DDS (PROSTHODONTIST)
- **Authorized official phone:** (317) 702-0794

## Contact information

- **Practice address:** 3801 FAIRFAX DR STE 70, ARLINGTON, VA 22203-1762
- **Practice address phone:** (703) 465-0123
- **Mailing address:** 520 12TH ST S APT 1805, ARLINGTON, VA 22202-4279
- **Mailing address phone:** (317) 702-0794

## Taxonomy

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

## Other

- **Enumeration date:** 02/11/2019
- **Last updated:** 02/11/2019