Provider Demographics
NPI:1225114069
Name:ASH, SCOTT HAMILTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:HAMILTON
Last Name:ASH
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 1:8223 S QUEBEC ST
Mailing Address - Street 2:UNIT A
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:303-689-2273
Mailing Address - Fax:303-689-0050
Practice Address - Street 1:8223 S QUEBEC ST
Practice Address - Street 2:UNIT A
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:303-689-2273
Practice Address - Fax:303-689-0050
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9026122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO47874066Medicaid