Individual
DR. JOHN MO. SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
518 SO SPRING, TYLER, TX 75701
(903) 597-1528
Mailing address
504 WINCHESTER, TYLER, TX 75701
(903) 581-6552
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9546
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008595301
—
TX
01
—
BO9546
CHIPS
TX
Enumeration date
08/27/2006
Last updated
10/05/2011
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