Provider Demographics
NPI:1710032933
Name:PARKINSON, SCOTT MILLER (DMD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:MILLER
Last Name:PARKINSON
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 1:20 E LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:TREMONT
Mailing Address - State:PA
Mailing Address - Zip Code:17981-1806
Mailing Address - Country:US
Mailing Address - Phone:570-695-3221
Mailing Address - Fax:570-695-0945
Practice Address - Street 1:20 E LAUREL ST
Practice Address - Street 2:
Practice Address - City:TREMONT
Practice Address - State:PA
Practice Address - Zip Code:17981-1806
Practice Address - Country:US
Practice Address - Phone:570-695-3221
Practice Address - Fax:570-695-3221
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS026394L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist