Individual
DR. SCOTT EDMONDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5187 ROUTE 60 EAST, 10, HUNTINGTON, WV 25705
(304) 736-3422
(304) 736-2390
Mailing address
5354 CAMP ROAD, LAVALETTE, WV 25535
(304) 617-5454
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3634
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810002278
—
WV
Enumeration date
09/22/2006
Last updated
05/24/2011
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