Provider Demographics
NPI:1669503926
Name:SCRANTON, CAROL A (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:A
Last Name:SCRANTON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7998
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59904-0998
Mailing Address - Country:US
Mailing Address - Phone:406-756-9393
Mailing Address - Fax:
Practice Address - Street 1:145 COMMONS LOOP STE 300
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-1918
Practice Address - Country:US
Practice Address - Phone:406-756-9393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT17671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice