MEDICARE: U TOO

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry		TX
2	122300000X	Dentist		TX

General Provider Information

NPI Number	:	1629475306
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	U TOO

Provider Business Mailing Address
First Line	:	9530 POTRANCO RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-9601
Country	:	US
Telephone Number	:	210-670-9000
Fax Number	:

Provider Business Practice Location Address
First Line	:	9530 POTRANCO RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78251-9601
Country	:	US
Telephone Number	:	210-670-9000
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	DR. SCOTT MALONE
Credential	:	D.D.S.
Telephone Number	:	210-670-9000

Provider Enumeration Date	:	11/25/2014
Last Update Date	:	11/25/2014

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Directions to “U TOO ” Practice Location

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