Individual
DR. JONATHAN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
5110 S LAKELAND DR, LAKELAND, FL 33813-2500
(863) 709-1941
Mailing address
5110 S LAKELAND DR, LAKELAND, FL 33813-2500
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN22026
FL
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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