Organization Name: | GEORGE G. SCOTT, JR, DDS PA |
NPI Number: | 1144303868 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GEORGE GENE SCOTT (PRESIDENT) |
Mailing Address: | 7860 9th Ave Port Arthur |
State: | TX US |
Postal Code: | 776426909 |
Phone Number: | 4097246387 |
Fax Number: | 4097241949 |
NPI Enumeration Date: | 10/24/2006 |
NPI Last Update Date: | 01/24/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 19022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |