| Doctor Name: | DR. SCOTT L BOLDING |
| NPI Number: | 1013064310 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DDS |
| License Number: | 3025 |
| Business Practice Address: | 2926 W Huntsville Ave Springdale, AR - 727627726 |
| Business Phone Number: | 4799273030 |
| Business Fax Number: | 4799273085 |
| Mailing Address: | Po Box 4185, FAYETTEVILLE |
| State: | AR |
| Postal Code: | 727024185 |
| Phone Number: | 4797171171 |
| Fax Number: | 4797252395 |
| NPI Enumeration Date: | 01/05/2007 |
| NPI Last Update Date: | 01/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | 3025 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |