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Individual

EDWIN WILL HARRIS SCOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
103 S CHURCH ST, WAVERLY, TN 37185-2160
(931) 296-2748
Mailing address
1501 HERMAN ST APT 405, NASHVILLE, TN 37208-3557
(225) 450-4501

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12266
TN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/29/2023
Last updated
02/26/2025
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