MEDICARE: SCOTT FINCHAM

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	390200000X	Student in an Organized Health Care Education/Training Program
2	1223G0001X	General Practice Dentistry	DEN.00203749	CO

General Provider Information

NPI Number	:	1831558048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT FINCHAM

Provider Business Mailing Address
First Line	:	6124 AMERSHIRE WAY
Second Line	:
City	:	GLEN ALLEN
State	:	VA
Zip	:	23059-6912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1650 COCHRANE CIR
Second Line	:
City	:	FT CARSON
State	:	CO
Zip	:	80913-4604
Country	:	US
Telephone Number	:	719-526-3330
Fax Number	:

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

Provider Enumeration Date	:	02/16/2016
Last Update Date	:	02/03/2026

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Directions to “ SCOTT FINCHAM ” Practice Location

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