MEDICARE: STANLEY S SCOTT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	12620	MO

General Provider Information

NPI Number	:	1255378048
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STANLEY S SCOTT

Provider Business Mailing Address
First Line	:	7312 TROOST AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1746
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7312 TROOST AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64131-1746
Country	:	US
Telephone Number	:	816-523-0024
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. STANLEY S SCOTT
Credential	:	DDS
Telephone Number	:	816-523-0024

Provider Enumeration Date	:	06/01/2006
Last Update Date	:	08/22/2020

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Directions to “STANLEY S SCOTT ” Practice Location

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