Individual
DR. SCOTT BRENDAN MACKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 24TH ST, FORT GREGG ADAMS, VA 23801-1716
(804) 734-9607
Mailing address
700 24TH ST, FORT GREGG ADAMS, VA 23801-1716
(804) 734-9607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415712
VA
Other
Enumeration date
05/22/2017
Last updated
07/03/2023
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