Organization
SCOTT FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY BRIAN SCOTT DDS (GENERAL DENTIST)
(501) 778-8201
Entity
Organization
Contact information
Practice address
716 W. SOUTH STREET, BENTON, AR 72015
(501) 778-8201
Mailing address
716 W. SOUTH STREET, BENTON, AR 72015
(501) 778-8201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134921608
—
AR
Enumeration date
12/11/2008
Last updated
12/11/2008
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