Organization
SCOTT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY D. SCOTT DDS (DENTIST)
(480) 924-3446
Entity
Organization
Contact information
Practice address
5151 E BROADWAY RD, SUITE #101, MESA, AZ 85206-1346
(480) 924-3446
Mailing address
5151 E BROADWAY RD, SUITE #101, MESA, AZ 85206-1346
(480) 924-3446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2884
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2884
DENTAL LICENCE
AZ
Enumeration date
04/02/2012
Last updated
04/02/2012
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