Provider Demographics
NPI:1518121862
Name:SCOTT M CAREL DDS PC
Entity Type:Organization
Organization Name:SCOTT M CAREL DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:CAREL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-789-5300
Mailing Address - Street 1:6025 W RENO AVE STE A
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-6654
Mailing Address - Country:US
Mailing Address - Phone:405-789-5300
Mailing Address - Fax:405-789-5305
Practice Address - Street 1:6025 W RENO AVE STE A
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73127-6654
Practice Address - Country:US
Practice Address - Phone:405-789-5300
Practice Address - Fax:405-789-5305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4812122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty