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NPI Code Detail

MEDICARE: BRIAN FOSTER SCAFF DDS

MEDICARE: BRIAN FOSTER SCAFF DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist13510TX

General Provider Information

NPI Number : 1013132638
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN FOSTER SCAFF DDS
Provider Business Mailing Address
First Line : 11350 FOUR POINTS DR APT 612
Second Line :
City : AUSTIN
State : TX
Zip : 78726-2224
Country : US
Telephone Number : 512-327-5518
Fax Number :
Provider Business Practice Location Address
First Line : 12335 HYMEADOW DR STE 100
Second Line :
City : AUSTIN
State : TX
Zip : 78750-1935
Country : US
Telephone Number : 512-258-9130
Fax Number : 512-258-9207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 07/08/2007

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Directions to “ BRIAN FOSTER SCAFF DDS” Practice Location

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