Individual
DR. JANIS LYNN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
618 N BENTON AVE, SPRINGFIELD, MO 65806-1102
(417) 831-0150
(417) 831-0155
Mailing address
PO BOX 5681, SPRINGFIELD, MO 65801-5681
(417) 831-0150
(417) 831-0155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2003000232
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401046800
—
MO
Enumeration date
08/31/2006
Last updated
03/28/2011
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