Provider Demographics
NPI:1790794550
Name:CRAVEN, SCOTT HINCKLEY (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:HINCKLEY
Last Name:CRAVEN
Suffix:
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 1:1319 W 3775 N
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VIEW
Mailing Address - State:UT
Mailing Address - Zip Code:84414-3311
Mailing Address - Country:US
Mailing Address - Phone:801-333-3456
Mailing Address - Fax:801-528-4266
Practice Address - Street 1:2685 N 1000 W
Practice Address - Street 2:
Practice Address - City:PLEASANT VIEW
Practice Address - State:UT
Practice Address - Zip Code:84414-2660
Practice Address - Country:US
Practice Address - Phone:801-333-3456
Practice Address - Fax:801-528-4266
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT323051-6009101YP2500X
UT323051-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional