Individual
DR. JOHN WILSON SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
901 N LOOP 340, WACO, TX 76705-7507
(254) 799-5000
Mailing address
901 N LOOP 340, WACO, TX 76705-7507
(254) 799-5000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
14362
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14362
STATE LICENSE
TX
Enumeration date
03/18/2007
Last updated
07/08/2007
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