Sam Scott

General Practice Dentistry · Coos Bay, OR

Individual Active NPI

NPI number 1134264021

Practice location

833 Anderson Ave
Coos Bay, OR 97420-4641
Phone
(542) 267-3447

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NPI record

NPI
1134264021
Entity type
Individual (Type 1)
Enumeration date
February 20, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D6512 OR

About Sam Scott

Sam Scott is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 833 Anderson Ave, Coos Bay, OR 97420-4641. The NPI number 1134264021 was assigned on February 20, 2007 and the record was last updated on July 8, 2007.

Sam Scott lists a license in the registry: #D6512 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Sam Scott?

The NPI number is 1134264021.

What is the phone number of Sam Scott?

The phone number listed for the practice location is (542) 267-3447.

Where is Sam Scott located?

833 Anderson Ave, Coos Bay, OR 97420-4641.

What is the taxonomy code for Sam Scott?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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