Healthcare Provider Details

I. General information

NPI: 1063274553
Provider Name (Legal Business Name): SCOTT WELLING DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 S LAS POSAS RD STE 250
SAN MARCOS CA
92078-2470
US

IV. Provider business mailing address

137 S LAS POSAS RD STE 250
SAN MARCOS CA
92078-2470
US

V. Phone/Fax

Practice location:
  • Phone: 760-377-6453
  • Fax:
Mailing address:
  • Phone: 760-377-6453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: SCOTT B WELLING
Title or Position: OWNER DENTIST
Credential: DDS
Phone: 614-623-1191