Provider Demographics
NPI:1871690602
Name:LINSCOTT, GREGORY MELVIN (DDS)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:MELVIN
Last Name:LINSCOTT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:LINSCOTT
Other - Middle Name:ENTERPRISES
Other - Last Name:INC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:50 S COURT ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-2810
Mailing Address - Country:US
Mailing Address - Phone:740-593-7493
Mailing Address - Fax:740-593-0533
Practice Address - Street 1:50 S COURT ST
Practice Address - Street 2:SUITE 1
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2810
Practice Address - Country:US
Practice Address - Phone:740-593-7493
Practice Address - Fax:740-593-0533
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH151781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice