Provider Demographics
NPI:1881862688
Name:WERNER, SCOTT PATRICK (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:PATRICK
Last Name:WERNER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6425 N QUAIL HOLLOW RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-1437
Mailing Address - Country:US
Mailing Address - Phone:901-767-5415
Mailing Address - Fax:901-767-2378
Practice Address - Street 1:6425 N QUAIL HOLLOW RD
Practice Address - Street 2:SUITE 201
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-1437
Practice Address - Country:US
Practice Address - Phone:901-767-5415
Practice Address - Fax:901-767-2378
Is Sole Proprietor?:No
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN53271223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics