Individual
RYAN D SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1919 S. HWY 81, MARLOW, OK 73055
(580) 658-5464
(580) 658-5463
Mailing address
PO BOX 272, MARLOW, OK 73055-0272
(580) 658-5464
(580) 658-5463
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5556
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73-1131842002
BCBS OF OK PROVIDER ID
OK
Enumeration date
08/17/2006
Last updated
07/09/2007
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