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NPI Code Detail

MEDICARE: DR. SCOTT GENE MYERS DMD

MEDICARE: DR. SCOTT GENE MYERS DMD
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
1122300000XDentistD5511AZ

General Provider Information

NPI Number : 1619962925
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT GENE MYERS DMD
Provider Business Mailing Address
First Line : 7777 N 43RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-5712
Country : US
Telephone Number : 623-939-9747
Fax Number : 623-939-1030
Provider Business Practice Location Address
First Line : 7777 N 43RD AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85051-5712
Country : US
Telephone Number : 623-939-9747
Fax Number : 623-939-1030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 07/08/2007

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Directions to “ DR. SCOTT GENE MYERS DMD” Practice Location

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