Individual
DR. SCOTT A WEISKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1661 AARON BRENNER DR STE 105, MEMPHIS, TN 38120
(901) 756-8475
Mailing address
1661 AARON BRENNER DR STE 105, MEMPHIS, TN 38120-1467
(901) 756-8475
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
9560
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2009
Last updated
06/26/2018
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