Scott L Bolding DDS Ms PC

Primary specialty

Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X

Legal business name

SCOTT L BOLDING DDS MS PC

Practice address

703 Main St Dept of
Paterson, NJ 07503-2621

Phone

(973) 754-2290

Fax

(973) 754-2633

NPI assigned

Jun 16, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Scotty L Bolding, DDS

Title

Owner

Phone

(479) 957-4611

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1467077354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8880",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727030015",
            "telephone_number": "479-313-8637",
            "fax_number": "479-582-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 MAIN ST DEPT OF",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075032621",
            "telephone_number": "973-754-2290",
            "fax_number": "973-754-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT L BOLDING DDS MS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "BOLDING",
        "authorized_official_first_name": "SCOTTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-957-4611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE BRANCH LICENSE",
            "identifier": "22DI02335601",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ STATE LICENSE",
            "identifier": "22DI02335600",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caitlin Schlesner, NP
• Susan Paula Schmerler, MS
• Lorraine Schroers, A.P.N.
• Hans Christian Schueling, MD
• Leya Schwartz, M.D.
• Kristina Scott, RD
• Sebastian Hematology-Oncology Associates
• Second Home, LLC
• Secongen, LLC (Strivewell Behavioral Center)
• Evelyn R Seda, M.D.

• Oral & Maxillofacial Surgery (D.M.D.) in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Oral & Maxillofacial Surgery (D.M.D.) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.