Individual
SCOTT OH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1671 OREGON PIKE, LANCASTER, PA 17601-4390
(917) 881-6594
Mailing address
160 E ERIE AVE, PHILADELPHIA, PA 19134-1011
(215) 427-5000
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS042627
PA
390200000X
Student in an Organized Health Care Education/Training Program
390200000X
—
Other
Enumeration date
05/07/2018
Last updated
05/05/2020
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