Provider Demographics
NPI:1477622157
Name:ROBERT W. SCOTT, DMD, PC
Entity Type:Organization
Organization Name:ROBERT W. SCOTT, DMD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:W
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:334-270-9924
Mailing Address - Street 1:4146 CARMICHAEL RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-3634
Mailing Address - Country:US
Mailing Address - Phone:334-270-9924
Mailing Address - Fax:
Practice Address - Street 1:4146 CARMICHAEL RD
Practice Address - Street 2:SUITE D
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-3634
Practice Address - Country:US
Practice Address - Phone:334-270-9924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Single Specialty