George Crawford Scott III, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

0401006948 Issued in VA

Practice address

4901 East Patrick Henry Highway
Burkeville, VA 23922

Phone

(434) 767-7885

Fax

(434) 767-5205

NPI assigned

Apr 9, 2007

Reactivated

Jul 25, 2013

Last updated

Jul 25, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1548383193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 BEECHWOOD POINT CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122535",
            "telephone_number": "804-739-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 EAST PATRICK HENRY HIGHWAY",
            "city": "BURKEVILLE",
            "state": "VA",
            "postal_code": "23922",
            "telephone_number": "434-767-7885",
            "fax_number": "434-767-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "GEORGE",
        "middle_name": "CRAWFORD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2013-07-25",
        "deactivation_date": "2007-07-17",
        "reactivation_date": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401006948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Burkeville, VA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.