Gwendolyn Michelle Scott, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2019020731 Issued in MO

Practice address

660 N Creek Dr
Festus, MO 63028-2632

Phone

(573) 327-8010

NPI assigned

Jun 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1053971697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 ASHFORD PL",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630285606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N CREEK DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282632",
            "telephone_number": "573-327-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "GWENDOLYN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2019020731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Schomer, LPC, NCC
• Rachel Schrage
• Rita Marie Schuman, M.D.
• Elizabeth Schurman, FNP-C
• Scott Radiological Group Inc
• Malary Renee Seabaugh, MSN, APRN, FNP-BC
• Jacob Seiler, PHARMD
• Senajda Selimovic
• Kenneth Ryan Shackelford, DNP, APRN, FNP-BC
• Amit J Shah, M.D.

• General Practice Dentistry in Festus, MO
• Providers in Festus, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.