MEDICARE: DR. JUSTIN BYRON SCOTT DMD

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	DN013787	GA

General Provider Information

NPI Number	:	1649436312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN BYRON SCOTT DMD

Provider Business Mailing Address
First Line	:	2285 PEACHTREE RD NE
Second Line	:	STE 203
City	:	ATLANTA
State	:	GA
Zip	:	30309-1142
Country	:	US
Telephone Number	:	404-901-4707
Fax Number	:	404-549-2637

Provider Business Practice Location Address
First Line	:	2285 PEACHTREE RD NE
Second Line	:	STE 203
City	:	ATLANTA
State	:	GA
Zip	:	30309-1142
Country	:	US
Telephone Number	:	404-901-4707
Fax Number	:	404-549-2637

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2008
Last Update Date	:	02/12/2026

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