Scott Bowersox
Individual provider Active NPI Dentist · Greencastle, PA
NPI 1942854591 · NPPES record last updated Jan 20, 2022
Key facts
- NPI
- 1942854591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DS042383 (PA)
- Practice address
- 50 Eastern Ave Ste 108
Greencastle, PA 17225-1100 - Phone
- (717) 597-7197
- NPI assigned
- Jul 31, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS042383 | PA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS042383 | PA | Yes |
Addresses
Primary practice location
50 Eastern Ave Ste 108
Greencastle, PA 17225-1100
Mailing address
800 Hughes Shop Rd
Westminster, MD 21158-3649
Other providers in Greencastle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.