Scott William George, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE00010824 Issued in WA

Practice address

2415 NE 134TH St Ste 311
Vancouver, WA 98686-3025

Phone

(360) 576-5066

Fax

(360) 576-5059

NPI assigned

Jan 3, 2006

Last updated

Oct 1, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scott W George DMD PLLC

  dba Salmon Creek Dental Specialists

  • Periodontics
  • Vancouver, WA
  • NPI 1073198966

  Endodontics

  NPD Authorized official

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191196800000",
    "number": "1649258401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 NE 134TH ST STE 311",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863025",
            "telephone_number": "360-576-5066",
            "fax_number": "360-576-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 NE 134TH ST STE 311",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863025",
            "telephone_number": "360-576-5066",
            "fax_number": "360-576-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "SCOTT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-03",
        "last_updated": "2007-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "OR",
            "license": "D7554",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE00010824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gentle Dental of Oregon PC (Gentle Dental)
• Angela Jeanine George, CNM
• Benjamin Andrew George
• Chad George
• Samuel Everett George, MD
• Sydney George
• Logan Georgioff
• Elizabeth Nicole Gephart
• Oksana N Gerasimchuk, MASSAGE THERAPIST
• Elizabeth Paige Gerbic, MD

• Endodontics in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.