Individual
TYLER L SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1113 PROGRESS DR, MEDFORD, OR 97504-5201
(541) 512-3182
(541) 512-1026
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555
(541) 842-2212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9748
OR
Other
Enumeration date
07/06/2012
Last updated
03/19/2020
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