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General NPI Number Information
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NPI Number | 1609961762
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Entity Type | Organization
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Legal Business Name | SCOTT MEYER DDS LLC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4409 MERAMEC BOTTOM RD SUITE F
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City | SAINT LOUIS
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State | MO
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Zip | 63129-2562
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Country | US
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Telephone | 314-894-9700
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Fax | 314-894-9709
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Provider Business Mailing Address
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Address Line | 4409 MERAMEC BOTTOM RD SUITE F
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City | SAINT LOUIS
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State | MO
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Zip | 63129-2562
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Country | US
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Telephone | 314-894-9700
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Fax | 314-894-9709
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Authorized Official
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Title or Position | MANAGER
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Name | SCOTT J MEYER
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Credential | DDS
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Telephone | 314-894-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 15411
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License Number State | MO
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