Provider Demographics
NPI:1174659171
Name:SCOTT M. READER DMD
Entity Type:Organization
Organization Name:SCOTT M. READER DMD
Other - Org Name:DENTAL NETWORK AT VIERA EAST
Other - Org Type:Other Name
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:M
Authorized Official - Last Name:READER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:321-253-9588
Mailing Address - Street 1:7185 MURRELL ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VIERA
Mailing Address - State:FL
Mailing Address - Zip Code:32940
Mailing Address - Country:US
Mailing Address - Phone:321-253-9588
Mailing Address - Fax:321-253-9711
Practice Address - Street 1:7185 MURRELL ROAD
Practice Address - Street 2:SUITE 102
Practice Address - City:VIERA
Practice Address - State:FL
Practice Address - Zip Code:32940
Practice Address - Country:US
Practice Address - Phone:321-253-9588
Practice Address - Fax:321-253-9711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00121951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty