Healthcare Provider Details

I. General information

NPI: 1952393183
Provider Name (Legal Business Name): SCOTT CAMERON DEXTER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 08/15/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

713 TROY SCHENECTADY RD
LATHAM NY
12110-2490
US

IV. Provider business mailing address

713 TROY SCHENECTADY RD
LATHAM NY
12110-2490
US

V. Phone/Fax

Practice location:
  • Phone: 518-262-4942
  • Fax: 518-262-5291
Mailing address:
  • Phone: 518-262-4942
  • Fax: 518-262-5291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number188988-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number188988-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: