Organization
ALEX W SCOTT DMD PLLC
Active
Other names
Glen Lake Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX SCOTT (OWNER)
(952) 938-6038
Entity
Organization
Contact information
Practice address
5509 EDEN PRAIRIE ROAD, SUITE A, MINNETONKA, MN 55345
(952) 938-6038
(952) 935-9175
Mailing address
5509 EDEN PRAIRIE ROAD, SUITE A, MINNETONKA, MN 55345
(952) 938-6038
(952) 935-9175
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
06/23/2021
Last updated
10/26/2022
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