Scott Garrison, D.D.S.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS-025610-L Issued in PA

Practice address

422 Manchester Ave
Media, PA 19063-3806

Phone

(610) 566-2217

Fax

(610) 566-7539

NPI assigned

May 15, 2013

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

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.

• Scott W Garrison, D.D.S., M.S.D., P.C.

  • Periodontics
  • Media, PA
  • NPI 1093733883
  NPD (past) Authorized official

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368576000000",
    "number": "1548606643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 MANCHESTER AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633806",
            "telephone_number": "610-566-2217",
            "fax_number": "610-566-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 MANCHESTER AVE",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190633806",
            "telephone_number": "610-566-2217",
            "fax_number": "610-566-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "SCOTT",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "PA",
            "license": "DS-025610-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan W Gann, MT(AAB),MLT(ASCP)
• Nicole Marie Ganzekaufer, CNM, WHNP-BC
• Andrew Gardner, PA-C
• Steven Michael Gariffo, DPT
• Stephanie Marie Garnjost, OTR/L
• Robert J Gary, M.D.
• Robert Ashley Gatter Sr., M.D., F.A.C.P., MACR
• Alison Gaudet, M.D.
• Jessica Ashely Geida, D.O.
• Genesis Eldercare Rehab Services

• Periodontics in Media, PA
• Providers in Media, PA by specialty
• Periodontics in Pennsylvania

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