Provider Demographics
NPI:1659539286
Name:PRICE, SCOTT (DMD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:
Last Name:PRICE
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:KY
Mailing Address - Zip Code:40361-1809
Mailing Address - Country:US
Mailing Address - Phone:859-987-5550
Mailing Address - Fax:859-987-2465
Practice Address - Street 1:520 HIGH ST
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:KY
Practice Address - Zip Code:40361-1809
Practice Address - Country:US
Practice Address - Phone:859-987-5550
Practice Address - Fax:589-987-2465
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY8455122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist