Provider Demographics
NPI:1679687867
Name:NORTON, SCOTT ALAN (DMD MSD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ALAN
Last Name:NORTON
Suffix:
Gender:M
Credentials:DMD MSD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4010 DUPONT CIRCLE
Mailing Address - Street 2:STE 276
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207
Mailing Address - Country:US
Mailing Address - Phone:502-899-5559
Mailing Address - Fax:502-899-5508
Practice Address - Street 1:4010 DUPONT CIRCLE
Practice Address - Street 2:STE 276
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207
Practice Address - Country:US
Practice Address - Phone:502-899-5559
Practice Address - Fax:502-899-5508
Is Sole Proprietor?:No
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY71111223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics