Organization
TODD S SCOTT DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD DONALD SCOTT DDS (OWNER)
(573) 446-3709
Entity
Organization
Contact information
Practice address
2716 FORUM BLVD STE 1, COLUMBIA, MO 65203-5450
(573) 446-3709
(573) 446-0861
Mailing address
2716 FORUM BLVD STE 1, COLUMBIA, MO 65203-5450
(573) 446-3709
(573) 446-0861
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
015928
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558473108
NPI-TYPE 1
MO
Enumeration date
11/29/2017
Last updated
11/29/2017
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