=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396752499
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | W. SCOTT HARRINGTON DMD INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/02/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2111 S ATLANTA PL
-----------------------------------------------------
City | TULSA
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74114-1709
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-743-9929
-----------------------------------------------------
Fax | 918-743-1546
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2111 S ATLANTA PL
-----------------------------------------------------
City | TULSA
-----------------------------------------------------
State | OK
-----------------------------------------------------
Zip | 74114-1709
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 918-743-9929
-----------------------------------------------------
Fax | 918-743-1546
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OFFICE MANAGER
-----------------------------------------------------
Name | MRS. MARY Y PARISH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 918-743-9929
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223S0112X
-----------------------------------------------------
Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
-----------------------------------------------------
License Number | 3666
-----------------------------------------------------
License Number State | OK
-----------------------------------------------------