NPIMap

Organization Active NPI

Scott L Clough, DDS, PS, Inc

  • General Practice Dentistry
  • Bellingham, WA
National Provider Identifier
1184836942
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5784 Issued in WA
Legal business name
SCOTT L CLOUGH, DDS, PS, INC
Practice address
3136 Squalicum Pkwy
Suite a
Bellingham, WA 98225-1954
Phone
(360) 671-5800
NPI assigned
May 4, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Scott Lancaster Clough, D.D.S.NPI 1073621116
Title
President
Phone
(360) 671-5800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5784 WA Primary

Addresses

Primary practice location

3136 Squalicum Pkwy
Suite a
Bellingham, WA 98225-1954

Mailing address

3136 Squalicum Pkwy
Suite a
Bellingham, WA 98225-1954
Phone (360) 671-5800

National Provider Directory

National Provider Directory

Locations

3136 Squalicum Pkwy
Ste A
Bellingham, WA 98225
Phone (360) 671-5800

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184836942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3136 SQUALICUM PKWY",
            "address_2": "SUITE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251954",
            "telephone_number": "360-671-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3136 SQUALICUM PKWY",
            "address_2": "SUITE A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251954",
            "telephone_number": "360-671-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT L CLOUGH, DDS, PS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLOUGH",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "LANCASTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-671-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "5784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.