Provider Demographics
NPI:1588674220
Name:JANSE, SCOTT AKIN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:AKIN
Last Name:JANSE
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Gender:M
Credentials:DDS, MS
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Mailing Address - Street 1:601 NW LOOP 410
Mailing Address - Street 2:STE 455
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-5510
Mailing Address - Country:US
Mailing Address - Phone:210-342-2444
Mailing Address - Fax:210-342-2443
Practice Address - Street 1:601 NW LOOP 410
Practice Address - Street 2:STE 455
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-5510
Practice Address - Country:US
Practice Address - Phone:210-342-2444
Practice Address - Fax:210-342-2443
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2015-08-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX180481223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics