Individual
DR. JAY D SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3330 N UNIVERSITY AVE, SUITE A, PROVO, UT 84604-4453
(801) 375-1965
(801) 375-1977
Mailing address
3330 N UNIVERSITY AVE, SUITE A, PROVO, UT 84604-4453
(801) 375-1965
(801) 375-1977
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5674148
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134260102
—
UT
Enumeration date
02/10/2007
Last updated
12/23/2010
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