Provider Demographics
NPI:1376020750
Name:VAN SCOYOC PLLC
Entity Type:Organization
Organization Name:VAN SCOYOC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:VAN SCOYOC
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:910-692-6720
Mailing Address - Street 1:240 DAVIS ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-3007
Mailing Address - Country:US
Mailing Address - Phone:910-692-6720
Mailing Address - Fax:
Practice Address - Street 1:2783 NC HIGHWAY 68 S
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8324
Practice Address - Country:US
Practice Address - Phone:336-841-0000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty