Provider Demographics
NPI:1942295357
Name:DILORENZO, SCOTT CAMERON (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:CAMERON
Last Name:DILORENZO
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 1:2500 CALIFORNIA PLZ
Mailing Address - Street 2:SCHOOL OF DENTISTRY - SUITE 208
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68178-0001
Mailing Address - Country:US
Mailing Address - Phone:402-280-3045
Mailing Address - Fax:402-280-5094
Practice Address - Street 1:2500 CALIFORNIA PLZ
Practice Address - Street 2:SCHOOL OF DENTISTRY - SUITE 208
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68178-0001
Practice Address - Country:US
Practice Address - Phone:402-280-3045
Practice Address - Fax:402-280-5094
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE46001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice