MEDICARE: DR. SCOTT CAMERON DEXTER M.D.

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	207V00000X	Obstetrics & Gynecology Physician	188988-1	NY
2	207VM0101X	Maternal & Fetal Medicine Physician	188988-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952393183
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT CAMERON DEXTER M.D.

Provider Business Mailing Address
First Line	:	713 TROY SCHENECTADY RD
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-2490
Country	:	US
Telephone Number	:	518-262-4942
Fax Number	:	518-262-5291

Provider Business Practice Location Address
First Line	:	713 TROY SCHENECTADY RD
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-2490
Country	:	US
Telephone Number	:	518-262-4942
Fax Number	:	518-262-5291

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

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	09/11/2025

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