Individual
SCOTT CHARLES PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11136 MOSS LN, NAMPA, ID 83651
(208) 466-0515
(208) 442-5338
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4628
ID
Other
Enumeration date
12/13/2010
Last updated
08/06/2019
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