Edwin Will Harris Scott, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

12266 Issued in TN

Practice address

103 S Church St
Waverly, TN 37185-2160

Phone

(931) 296-2748

NPI assigned

Mar 29, 2023

Last updated

Feb 26, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Baker Family Dentistry, PLLC

  • Dental Clinic/Center
  • Waverly, TN
  • NPI 1184435851
  NPD
• Emb Dentistry PC

  • General Practice Dentistry
  • Gallatin, TN
  • NPI 1316644370
  NPD (past)

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1932803186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 HERMAN ST APT 405",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372083557",
            "telephone_number": "225-450-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S CHURCH ST",
            "city": "WAVERLY",
            "state": "TN",
            "postal_code": "371852160",
            "telephone_number": "931-296-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "EDWIN",
        "middle_name": "WILL HARRIS",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-29",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "12266",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Richardson, PHARMD
• Richland Creek Dental Group, PLLC (East Hills Dental Center - Waverly)
• River Valley Eye Clinic P C
• Brenda Sue Rogerson, CCC-SLP
• Emma Rowlett
• Judy Darlene Sherrod, R.N.
• Lana Shoulders, PA
• Small Town Medical
• State of Tennessee (Humphreys County Health Department)
• Marlynn Giles Stovall, M.D.

• Dentist in Waverly, TN
• Providers in Waverly, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.