Organization
LONGORN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM RAY SCOTT DDS (PRESIDENT)
(512) 371-1222
Entity
Organization
Contact information
Practice address
5008 MIDWAY DR, TEMPLE, TX 76502-1416
(254) 773-1688
(254) 773-6448
Mailing address
7517 CAMERON RD, SUITE 107, AUSTIN, TX 78752-2057
(512) 371-1222
(512) 371-3914
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/18/2007
Last updated
08/22/2020
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