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Individual

DR. ROBERT EARL SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
4100 TRIANGLE DR STE B, CHARLOTTE, NC 28208-3069
(704) 393-2626
(704) 393-2699
Mailing address
4100 TRIANGLE DR STE B, CHARLOTTE, NC 28208-3069
(704) 393-2626
(704) 393-2699

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05886
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8997619
NC
01
NC05886
STATE LICENSE
NC
Enumeration date
01/12/2007
Last updated
07/08/2007
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