Scott Antonio, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

DN21199 Issued in FL

Practice address

151 W Airport Blvd
Pensacola, FL 32505-2245

Phone

(850) 477-5252

Fax

(850) 477-5532

NPI assigned

Jun 15, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southern Dental Associates, P.a.

  • General Practice Dentistry
  • Pensacola, FL
  • NPI 1700987732

  General Practice

  NPD (past)
• Goose Creek Family Dentistry LLC

  • General Practice Dentistry
  • Goose Creek, SC
  • NPI 1508004268

  General Practice

  NPD (past)

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1487035580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 W AIRPORT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052245",
            "telephone_number": "239-218-9614",
            "fax_number": "850-477-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W AIRPORT BLVD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325052245",
            "telephone_number": "850-477-5252",
            "fax_number": "850-477-5532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 S Goose Creek Blvd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Goose Creek",
            "state": "SC",
            "postal_code": "294453136",
            "country_code": "US",
            "telephone_number": "843-764-3081",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONIO",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "8542",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN21199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Anstett, LCSW
• Antidote Wellness LLC
• Ana Marie Antonetti, MD
• Callah Antonetti, M.D.
• Emilio A. Antonetti, MD
• Daniel Antonious
• George B. Antonious, MD
• Anytime Stat Lab LLC
• Lauren Marie Anzaldo, LCSW
• Apex Psychiatric Services, LLC

• All providers in Pensacola, FL
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.