Jason Malcolm Scully, D.D.S.

General Practice Dentistry · Fairfield, CT

Individual Active NPI

NPI number 1427142918

Practice location

69 Sherman Street
Fairfield, CT 06824
Phone
(203) 255-1545
Fax
(203) 255-7530

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NPI record

NPI
1427142918
Entity type
Individual (Type 1)
Enumeration date
October 2, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 8632 CT

Mailing address

407 Meadowbrook Road
Fairfield, CT 06824
Phone
(203) 255-1545
Fax
(203) 255-7530

About Dr. Scully

Jason Malcolm Scully, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 69 Sherman Street, Fairfield, CT 06824. The NPI number 1427142918 was assigned on October 2, 2006 and the record was last updated on July 8, 2007.

Dr. Scully lists a license in the registry: #8632 (CT) 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 Jason Malcolm Scully, D.D.S.?

The NPI number is 1427142918.

What is the phone number of Dr. Scully?

The phone number listed for the practice location is (203) 255-1545.

Where is Dr. Scully located?

69 Sherman Street, Fairfield, CT 06824.

What is the taxonomy code for Dr. Scully?

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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