Provider Demographics
NPI:1790399079
Name:SCARTON, JAVIER SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:
Last Name:SCARTON
Suffix:SR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18851 NE 29TH AVE STE 301
Mailing Address - Street 2:
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2813
Mailing Address - Country:US
Mailing Address - Phone:305-682-1411
Mailing Address - Fax:
Practice Address - Street 1:18851 NE 29TH AVE STE 301
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-2813
Practice Address - Country:US
Practice Address - Phone:305-682-1411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN253491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice