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Individual

MARK BRENT SCOTT II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2503 BUSH RIDGE DRIVE, SUITE C, LOUISVILLE, KY 40245
(502) 240-0649
(502) 240-0649
Mailing address
2503 BUSH RIDGE DRIVE, SUITE C, LOUISVILLE, KY 40245
(502) 240-0649
(502) 240-0649

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8798
KY

Other

Enumeration date
06/22/2009
Last updated
04/27/2023
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