David Scott Dental Corp

Primary specialty

DentistTaxonomy code 122300000X

License

31150 Issued in CA

Legal business name

DAVID SCOTT DENTAL CORP

Practice address

730 Sunrise Ave
Ste 120
Roseville, CA 95661-4549

Phone

(916) 797-0868

Fax

(916) 797-0818

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

David W Scott, DDS

Title

Owner

Phone

(916) 797-0868

Specialties & licenses 1

Addresses

Other names 1

• Good Name Scott Dental Corporation Former legal business name

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1821262007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 SUNRISE AVE",
            "address_2": "STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614549",
            "telephone_number": "916-797-0868",
            "fax_number": "916-797-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 SUNRISE AVE",
            "address_2": "STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614549",
            "telephone_number": "916-797-0868",
            "fax_number": "916-797-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SCOTT DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-797-0868",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "31150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Name Scott Dental Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kenneth Edward A Dato, PHARMD
• Jovelyn A Dattolico, RPH
• Pauldeen Mikail Davejan
• Dominique Antoinette Davett
• David F Shirley M D P C
• David Spangler PHD Inc
• Floyd Carlton David, MD
• Kayla Ann David
• Maria Anna Leah Moncada David, OTR
• Meghan Norton Davignon, MD

• Dentist in Roseville, CA
• Providers in Roseville, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.