Provider Demographics
NPI:1184831927
Name:IOSET, SCOT MURRAY (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCOT
Middle Name:MURRAY
Last Name:IOSET
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 1:34 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NY
Mailing Address - Zip Code:13346-1336
Mailing Address - Country:US
Mailing Address - Phone:315-824-3338
Mailing Address - Fax:315-824-0092
Practice Address - Street 1:34 BROAD ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NY
Practice Address - Zip Code:13346-1336
Practice Address - Country:US
Practice Address - Phone:315-824-3338
Practice Address - Fax:315-824-0092
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0458311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice