Ryan D Scott, DDS

Individual provider Active NPI General Practice Dentistry · Marlow, OK

NPI 1285748426 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1285748426
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
5556 (OK)
Practice address
1919 S. Hwy 81
Marlow, OK 73055
Phone
(580) 658-5464
Fax
(580) 658-5463
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Opted out of Medicare
Yes, effective Jan 27, 2016 through Jan 27, 2028

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Scott Family Dentistry, Inc. PC General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5556 OK Yes

Addresses

Primary practice location

1919 S. Hwy 81
Marlow, OK 73055

Mailing address

PO Box 272
Marlow, OK 73055-0272
Phone (580) 658-5464

Other identifiers

IdentifierTypeStateIssuer
73-1131842002OtherOKBCBS OF OK PROVIDER ID

Other providers in Marlow, OK

All providers in Marlow, OK · General Practice Dentistry in Oklahoma

Sources for this page

Verify at the official NPI Registry.