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NPI Code Detail

MEDICARE: MR. SCOTT E TERRELL DPH

MEDICARE: MR. SCOTT E TERRELL DPH
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
1183500000XPharmacist12520OK

General Provider Information

NPI Number : 1356622823
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. SCOTT E TERRELL DPH
Provider Business Mailing Address
First Line : 2316 N ROCKWELL AVE
Second Line :
City : BETHANY
State : OK
Zip : 73008-5852
Country : US
Telephone Number : 405-440-0342
Fax Number : 405-440-2891
Provider Business Practice Location Address
First Line : 4101 N MAY AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73112-6239
Country : US
Telephone Number : 405-200-0363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2011
Last Update Date : 03/14/2026

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