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Organization
WALTER S SCOTT DDS PA
Active
Organization
WALTER S SCOTT DDS PA
Active
Other names
Walter S Scott and Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER STUART SCOTT III DDS (OWNER/DENTIST)
(910) 323-3133
Entity
Organization
Contact information
Practice address
2935 BREEZEWOOD AVE, SUITE 200, FAYETTEVILLE, NC 28303-5284
(910) 323-3133
(910) 323-9616
Mailing address
2935 BREEZEWOOD AVE, SUITE 200, FAYETTEVILLE, NC 28303-5284
(910) 323-3133
(910) 323-9616
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5678
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8997606
—
NC
Enumeration date
09/27/2007
Last updated
09/27/2007
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