Michael Louis Scott Jr., D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

DN23860 Issued in FL

Practice address

209 S Myrtle Ave
Clearwater, FL 33756-5521

Phone

(727) 314-4045

Fax

(727) 442-3360

NPI assigned

Jul 7, 2014

Last updated

Feb 15, 2021By 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)

Enrolled

State licenses

Practice roles

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.

• Breathe Well Sleep Well Florida

  • Dental Clinic/Center
  • Clearwater, FL
  • NPI 1144888504
  NPD (past)
• Ams Dental

  • Dental Clinic/Center
  • Lexington, KY
  • NPI 1275320830
  NPD (past)
• Scott Larkin DMD

  • Dentist
  • Lexington, KY
  • NPI 1174692693
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1992111322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S MYRTLE AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565521",
            "telephone_number": "727-314-4045",
            "fax_number": "727-442-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S MYRTLE AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337565521",
            "telephone_number": "727-314-4045",
            "fax_number": "727-442-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "MICHAEL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-07",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23860",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott C. Behler, M.D, P.a
• Scott L Ray DO PA
• Scott Testing Centers
• Scott Therapy Centers
• Carolyn Scott, D.C.
• Scott's RX Inc (Scott's Rx)
• Constance Brooks Scripture, ARNP
• Josee Scully
• Seabreeze Siesta Manor
• Jaime Danielle Seal, PA-C

• Dentist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.