Organization
BRIAN SCOTT DDS MS PC
Active
Organization
BRIAN SCOTT DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE A SCOTT (FINANCIAL ADMINISTRATOR)
(719) 545-2722
Entity
Organization
Contact information
Practice address
1641 HORSESHOE DR, PUEBLO, CO 81001-2062
(719) 545-2722
(719) 545-7427
Mailing address
1641 HORSESHOE DR, PUEBLO, CO 81001-2062
(719) 545-2722
(719) 545-7427
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DEN-00009868
DENTAL LICENSE
CO
Enumeration date
01/26/2017
Last updated
01/26/2017
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