Individual provider Active NPI

Scott Tilson Claiborne, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Sartell, MN
National Provider Identifier
1437387305
Registry record updated Jul 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
11845 Issued in CT
Practice address
2380 Troop Dr
Sartell, MN 56377-4636
Phone
(320) 348-7470
NPI assigned
Jun 30, 2009
Last updated
Jul 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 11845 CT Primary

Addresses

Primary practice location

2380 Troop Dr
Sartell, MN 56377-4636

Mailing address

2380 Troop Dr
Sartell, MN 56377-4636
Phone (320) 348-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171229001222 CT Practitioner - Oral Surgery 1658639307 Reassigns benefits to 1 organization
I20210604001304 MN Practitioner - Oral SurgeryPractitioner - Dentist 1658639307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Dentist
Education
University of Connecticut School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Oral and Facial Surgery PLLCGroup PAC ID 7517383987, 4 clinicians
Connecticut Oral and Maxillofacial Surgery Centers, LLCGroup PAC ID 4486568409, 2 clinicians

Practice addresses (Care Compare)

2380 Troop Dr
Unit 202
Sartell, MN 56377-4637
Phone (320) 257-9555

323 Main St
West Haven, CT 06516-4424
Phone (203) 937-7181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Oral & Maxillofacial Surgery Centers, LLC Oral and Maxillofacial Surgery CurrentSince Oct 11, 2017 Accepting new patients
Minnesota Oral and Facial Surgery PLLC Oral and Maxillofacial Surgery CurrentSince Jul 1, 2021 Accepting new patients
Connecticut Oral & Maxillofacial Surgery Centers, LLC Oral and Maxillofacial Surgery Past Accepting new patients

Locations

546 S Broad St
Ste 2A
Meriden, CT 06450
Phone (203) 639-0800

2380 Troop Dr
Unit 202
Sartell, MN 56377
Phone (320) 257-9555

Interoperability endpoints

  • Direct secure messaging: sclaiborne598293@direct.centracare.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751587200000",
    "number": "1437387305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774636",
            "telephone_number": "320-348-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 TROOP DR",
            "city": "SARTELL",
            "state": "MN",
            "postal_code": "563774636",
            "telephone_number": "320-348-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAIBORNE",
        "first_name": "SCOTT",
        "middle_name": "TILSON",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "11845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sartell, MN

Sources for this page

Verify at the official NPI Registry.