Organization
CLERMONT PERIODONTICS AND IMPLANT CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERWIN OMARRE SCOTT DDS, MS, CHP (OWNER)
(731) 313-0998
Entity
Organization
Contact information
Practice address
1381 CITRUS TOWER BLVD, CLERMONT, FL 34711-1957
(731) 313-0998
Mailing address
17522 PROMENADE DR, CLERMONT, FL 34711-5894
(731) 313-0998
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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