MEDICARE: DR. ZAKIYA T SCOTT 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
1	1223G0001X	General Practice Dentistry	14202	MD

General Provider Information

NPI Number	:	1386892990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZAKIYA T SCOTT DDS

Provider Business Mailing Address
First Line	:	400 GALLERIA PKWY SE
Second Line	:	SUITE 800
City	:	ATLANTA
State	:	GA
Zip	:	30339-5980
Country	:	US
Telephone Number	:	770-916-5362
Fax Number	:	770-234-6642

Provider Business Practice Location Address
First Line	:	1900 N BROADWAY
Second Line	:	SUITE 102
City	:	BALTIMORE
State	:	MD
Zip	:	21213-1444
Country	:	US
Telephone Number	:	443-957-1602
Fax Number	:	410-235-3202

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

Provider Enumeration Date	:	09/08/2008
Last Update Date	:	02/28/2011

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