Stanley Thomas Scalf, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5966 Issued in KY

Practice address

402 Boston SQ
Georgetown, KY 40324-9787

Phone

(502) 863-9340

Fax

(502) 867-2049

NPI assigned

Apr 6, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255454310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 BOSTON SQ",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249787",
            "telephone_number": "502-863-9340",
            "fax_number": "502-867-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 BOSTON SQ",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403249787",
            "telephone_number": "502-863-9340",
            "fax_number": "502-867-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALF",
        "first_name": "STANLEY",
        "middle_name": "THOMAS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leah Michele Sander, P.T.
• Dawn Sargent, RBT
• Brenna Rose Schuller, PHARMD, RPH
• Lauren Ashley Scollin, DPT
• Scott County Drug, PLLC
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• Scott County Family Practice PLLC

• General Practice Dentistry in Georgetown, KY
• Providers in Georgetown, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.