Guadalupe Wooster

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

GUADALUPE WOOSTER

Doing business as

Scott Dental Group

Practice address

178 E Milltown Rd
Wooster, OH 44691-1244

Phone

(330) 439-3261

NPI assigned

Sep 16, 2022

Last updated

Sep 16, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Tyler Scott, DDSNPI 1174752992

Title

President

Phone

(330) 439-3261

Specialties & licenses 1

Addresses

Other names 1

• Scott Dental Group Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tyler Lynn Scott, DDS

  • Dentist
  • Loudonville, OH
  • NPI 1174752992
  NPD Authorized official
• Alexander Difilippo, D.D.S.

  • Dentist
  • Wooster, OH
  • NPI 1326380262
  NPD (past)
• Nikola Dikic, DDS

  • Dentist
  • Wooster, OH
  • NPI 1407578578
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663286400000",
    "number": "1033831094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 EDEN DR",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912245",
            "telephone_number": "330-439-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 E MILLTOWN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911244",
            "telephone_number": "330-439-3261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUADALUPE WOOSTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-439-3261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scott Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Murphy Grimsley, QMHS-BACH
• Veronica L Groff, LISW
• Rebecca Gross
• Paul M Grywalski
• Angela Marie Grywalsky, BA, LSW
• Michaela Gubics
• Tatiana Gurevich, M.D.
• Mark Edward Gustafson, D.D.S.
• Amy Guthrie
• Daniela Ayleen Gutierrez Carrera

• Dental Clinic/Center in Wooster, OH
• Providers in Wooster, OH by specialty
• Dental Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.