MEDICARE: DR. SCOTT BRADLEY CRAVEN D.D.S.

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
1	1223G0001X	General Practice Dentistry	60161	KS

General Provider Information

NPI Number	:	1104804079
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT BRADLEY CRAVEN D.D.S.

Provider Business Mailing Address
First Line	:	5000 W 95TH ST
Second Line	:	SUITE 300
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66207-3383
Country	:	US
Telephone Number	:	816-560-5561
Fax Number	:

Provider Business Practice Location Address
First Line	:	5000 W 95TH ST
Second Line	:	SUITE 300
City	:	PRAIRIE VILLAGE
State	:	KS
Zip	:	66207-3383
Country	:	US
Telephone Number	:	913-649-0310
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2006
Last Update Date	:	03/13/2014

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Directions to “ DR. SCOTT BRADLEY CRAVEN D.D.S.” Practice Location

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