Healthcare Provider Details

I. General information

NPI: 1487825725
Provider Name (Legal Business Name): REBECCA F. SCOTT D.D.S., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2008
Last Update Date: 03/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6040 VILLAGE DR
LINCOLN NE
68516-6640
US

IV. Provider business mailing address

6040 VILLAGE DR
LINCOLN NE
68516-6640
US

V. Phone/Fax

Practice location:
  • Phone: 402-420-2222
  • Fax: 402-420-7045
Mailing address:
  • Phone: 402-420-2222
  • Fax: 402-420-7045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number6334
License Number StateNE

VIII. Authorized Official

Name: DR. REBECCA FRICKE SCOTT
Title or Position: PEDIATRIC DENTIST
Credential: D.D.S.
Phone: 402-420-2222