Healthcare Provider Details

I. General information

NPI: 1831558048
Provider Name (Legal Business Name): SCOTT FINCHAM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/16/2016
Last Update Date: 02/03/2026
Certification Date: 02/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 COCHRANE CIR
FT CARSON CO
80913-4604
US

IV. Provider business mailing address

6124 AMERSHIRE WAY
GLEN ALLEN VA
23059-6912
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-3330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN.00203749
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: