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NPI Code Detail

MEDICARE: DR. SCOTT AARON FLEMING DMD

MEDICARE: DR. SCOTT AARON FLEMING 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
1122300000XDentistDE60232173WA

General Provider Information

NPI Number : 1760779847
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT AARON FLEMING DMD
Provider Business Mailing Address
First Line : 4309 W NOB HILL BLVD
Second Line :
City : YAKIMA
State : WA
Zip : 98908-3971
Country : US
Telephone Number : 509-823-4480
Fax Number :
Provider Business Practice Location Address
First Line : 4309 W NOB HILL BLVD
Second Line :
City : YAKIMA
State : WA
Zip : 98908-3971
Country : US
Telephone Number : 509-823-4480
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2011
Last Update Date : 08/14/2015

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