Provider Demographics
NPI:1235321258
Name:SCOTT, LYNNA CHRISTINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LYNNA
Middle Name:CHRISTINE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 E 71ST ST
Mailing Address - Street 2:TRACK #3
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-3967
Mailing Address - Country:US
Mailing Address - Phone:317-479-2340
Mailing Address - Fax:317-479-2345
Practice Address - Street 1:5501 E 71ST ST
Practice Address - Street 2:TRACK #3
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-3967
Practice Address - Country:US
Practice Address - Phone:317-479-2340
Practice Address - Fax:317-479-2345
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011037A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice