Provider Demographics
NPI:1952670473
Name:READER, SCOTT M (DMD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:M
Last Name:READER
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7185 MURRELL RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VIERA
Mailing Address - State:FL
Mailing Address - Zip Code:32940-8260
Mailing Address - Country:US
Mailing Address - Phone:321-253-9588
Mailing Address - Fax:321-253-9711
Practice Address - Street 1:7185 MURRELL RD
Practice Address - Street 2:SUITE 102
Practice Address - City:VIERA
Practice Address - State:FL
Practice Address - Zip Code:32940-8260
Practice Address - Country:US
Practice Address - Phone:321-253-9588
Practice Address - Fax:321-253-9711
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00121951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice