A Tooth Doctor for Kids Dallas PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

A TOOTH DOCTOR FOR KIDS DALLAS PLLC

Doing business as

A Tooth Doctor for Kids

Practice address

3301 E Thomas Rd
Phoenix, AZ 85018-7302

Phone

(602) 956-4411

Fax

(602) 956-7755

NPI assigned

Jul 15, 2011

Last updated

Jul 15, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Malcolm Ray Scott Jr., DDSNPI 1164583019

Title

Owner

Phone

(602) 956-4411

Specialties & licenses 1

Addresses

Other names 1

• A Tooth Doctor for Kids Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Malcolm Ray Scott, D.D.S.

  • Dentist
  • Austin, TX
  • NPI 1164583019
  Authorized official Same address or phone

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310688000000",
    "number": "1962790626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 GUS THOMASSON RD",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751501700",
            "telephone_number": "512-371-1222",
            "fax_number": "614-462-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187302",
            "telephone_number": "602-956-4411",
            "fax_number": "602-956-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A TOOTH DOCTOR FOR KIDS DALLAS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-956-4411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Tooth Doctor for Kids",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.