Scott A Adcock, DDS
Individual provider Active NPI General Practice Dentistry · Longview, TX
NPI 1487036331 · NPPES record last updated Jun 26, 2015
Key facts
- NPI
- 1487036331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 31072 (TX)
- Practice address
- 2904 N 4TH St
Ste 106
Longview, TX 75605-5129 - Phone
- (903) 758-3700
- Fax
- (903) 234-8658
- NPI assigned
- Jun 26, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31072 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lagrone and Adcock DDS PLLC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 31072 | TX | Yes |
Addresses
Primary practice location
2904 N 4TH St
Ste 106
Longview, TX 75605-5129
Mailing address
2904 N 4TH St
Ste 106
Longview, TX 75605-5129
Phone (903) 758-3700
Other providers in Longview, TX
- Denis Adams
- Eboni Joy Adams
- Kaitlyn Adams
- Megan Adams
- Jesse Majors Adamson
- Kimberly A. Addis
- Adept Care
- Advanced Interventions Associates, Inc.
- Affordable Dentist Near Me in Longview PLLC
- Zuhair Afsar
All providers in Longview, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.