Scott Maurice Dillard, D.D.S.

Primary specialty

Dental AnesthesiologyTaxonomy code 1223D0004X

License

007896 Issued in CT

Practice address

401 Center St
Manchester, CT 06040-3924

Phone

(860) 645-0111

NPI assigned

Dec 15, 2010

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

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1669775508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060403924",
            "telephone_number": "860-645-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060403924",
            "telephone_number": "860-645-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLARD",
        "first_name": "SCOTT",
        "middle_name": "MAURICE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-15",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CT",
            "license": "007896",
            "primary": true
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "NY",
            "license": "041953",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dickerson Enterprise LLC
• Ethel Dickerson, LCSW
• Joseph Lee Dickerson Jr., M. ED
• Digestive Health Specialists of Eastern Connecticut LLC
• Jacob M Diiorio
• Sydney J Dillon
• Jeannie Dilworth, APRN
• Sandra Lynn Dimario, RN
• Joseph Lawrence Dinardo, DMD
• Samantha M Dinoto

• Dental Anesthesiology in Manchester, CT
• Providers in Manchester, CT by specialty
• Dental Anesthesiology in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.