Individual
DR. ANDREW WALTON SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
430 MAIN ST, GREEN BAY, WI 54301-5115
(920) 431-1725
Mailing address
2140 S RIDGE RD, GREEN BAY, WI 54304-4357
(920) 494-7464
(920) 494-7919
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6688-15
WI
1223G0001X
General Practice Dentistry
6688-15
WI
Other
Enumeration date
06/09/2011
Last updated
03/06/2015
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