Organization
SCOTT ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRENT SCOTT II DMD (OWNER)
(502) 240-0649
Entity
Organization
Contact information
Practice address
2503 BUSH RIDGE DRIVE, SUITE C, LOUISVILLE, KY 40245
(502) 240-0649
(502) 240-0649
Mailing address
2503 BUSH RIDGE DRIVE, SUITE C, LOUISVILLE, KY 40245
(502) 240-0649
(502) 240-0649
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
10/28/2016
Last updated
04/27/2023
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