Organization
ORTHODONTIC SPECIALTY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALCOLM RAY SCOTT D.D.S. (PRESIDENT)
(512) 371-1222
Entity
Organization
Contact information
Practice address
5177 RICHMOND AVE, SUITE 150, HOUSTON, TX 77056-6707
(713) 960-9926
(713) 626-2927
Mailing address
PO BOX 14464, AUSTIN, TX 78761-4464
(512) 371-1222
(512) 371-3914
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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