Provider Demographics
NPI:1346535010
Name:PAPINEAU, SCOTT D (DDS)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:D
Last Name:PAPINEAU
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 1:7725 S EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-8654
Mailing Address - Country:US
Mailing Address - Phone:317-882-7694
Mailing Address - Fax:317-882-8234
Practice Address - Street 1:7725 S EMERSON AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-8654
Practice Address - Country:US
Practice Address - Phone:317-882-7694
Practice Address - Fax:317-882-8234
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011645A1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry