Provider Demographics
NPI:1073727095
Name:HARSFIELD, SCOTT (DMD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:HARSFIELD
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1429 WARWICK AVE
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-5062
Mailing Address - Country:US
Mailing Address - Phone:401-223-1223
Mailing Address - Fax:401-223-1225
Practice Address - Street 1:1429 WARWICK AVE
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-5062
Practice Address - Country:US
Practice Address - Phone:401-223-1223
Practice Address - Fax:401-223-1225
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICDEN027431223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI139-741OtherUNITED CONCORDIA
MARG0069OtherBLUE CROSS OF MASS
RIWB01101Medicaid
RI41-00012OtherUNITED HEALTHCARE
RI8037-4OtherBLUE CROSS