MEDICARE: DR. DAVID L. SCOTT JR. 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	5683	MD

General Provider Information

NPI Number	:	1508922766
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID L. SCOTT JR. D.D.S.

Provider Business Mailing Address
First Line	:	6495 NEW HAMPSHIRE AVE
Second Line	:	B300
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-3245
Country	:	US
Telephone Number	:	301-439-3331
Fax Number	:	301-439-5975

Provider Business Practice Location Address
First Line	:	6495 NEW HAMPSHIRE AVE
Second Line	:	B300
City	:	HYATTSVILLE
State	:	MD
Zip	:	20783-3245
Country	:	US
Telephone Number	:	301-439-3331
Fax Number	:	301-439-5975

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

Provider Enumeration Date	:	12/29/2006
Last Update Date	:	05/27/2015

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