Provider Demographics
NPI:1114950995
Name:MUNSINGER, SCOTT ALLEN (DDS)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:ALLEN
Last Name:MUNSINGER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5909 S REMINGTON PL
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57108-5143
Mailing Address - Country:US
Mailing Address - Phone:605-362-9114
Mailing Address - Fax:605-362-0370
Practice Address - Street 1:5909 S REMINGTON PL
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-5143
Practice Address - Country:US
Practice Address - Phone:605-362-9114
Practice Address - Fax:605-362-0370
Is Sole Proprietor?:No
Enumeration Date:2006-07-08
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDM7861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD7806540Medicaid