Healthcare Provider Details

I. General information

NPI: 1396969036
Provider Name (Legal Business Name): FRANKLYN SCOTT, D.D.S., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 12/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 EAST WADSWORTH AVENUE
PHILADELPHIA PA
19150
US

IV. Provider business mailing address

900 EAST WADSWORTH AVENUE
PHILADELPHIA PA
19150
US

V. Phone/Fax

Practice location:
  • Phone: 215-247-6962
  • Fax: 215-247-0509
Mailing address:
  • Phone: 215-247-6962
  • Fax: 215-247-0509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANKLYN SCOTT
Title or Position: DOCTOR
Credential: D.D.S.
Phone: 215-247-6962