Organization
SCOTT ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON L SCOTT DDS, MS (OWNER)
(757) 825-6280
Entity
Organization
Contact information
Practice address
2108 HARTFORD RD, HAMPTON, VA 23666-2409
(757) 825-6280
(757) 825-4995
Mailing address
2108 HARTFORD RD, HAMPTON, VA 23666-2409
(757) 825-6280
(757) 825-4995
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
0401005160
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831180264
—
VA
Enumeration date
04/15/2013
Last updated
04/15/2013
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