| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOHN C SCOTT | 1164884243 | 2024-09-06 |
John C Scott is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1164884243. Registration indicates John C Scott is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers) Access to Dental Specialists (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist: Pediatric Dentistry, ) (Dental, ) (Dentist Pediatric Dentistry, Dental Providers) (Dentist, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:N |
| Entity Type | Individual |
| Provider Name | Mr. John C Scott DDS |
| Practice Office Address | 4301 W MARKHAM ST # 624 LITTLE ROCK, AR US |
| Practice Office Telephone | 5015267619 |
| Practice Office Fax | 5015264544 |
| Mailing Address | 4301 W MARKHAM ST # 783 LITTLE ROCK, AR 722057101 US |
| Business Telephone | 5016868000 |
| Business Fax | 5015265148 |
| Code | Practice | License No State |
|---|---|---|
| 122300000X | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 4115
AR |
| 1223P0221X PRIMARY | Access to Dental Specialists Dental Providers Dentist Dental Providers Dentist Dentist: Pediatric Dentistry Dental Dentist Pediatric Dentistry Dental Providers Dentist | 4115
AR |