Healthcare Provider Details

I. General information

NPI: 1326019282
Provider Name (Legal Business Name): SCOTT ERIC TURKEWITZ DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/30/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 COMMERCIAL AVE
CLIFTON FORGE VA
24422-1117
US

IV. Provider business mailing address

316 COMMERCIAL AVE
CLIFTON FORGE VA
24422-1117
US

V. Phone/Fax

Practice location:
  • Phone: 540-863-3211
  • Fax: 540-862-0102
Mailing address:
  • Phone: 540-863-3211
  • Fax: 540-862-0102

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number008020
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: