Provider Demographics
NPI:1962449298
Name:SCOTT, JEAN O (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:O
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7905 TARTAN FIELDS DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-8778
Mailing Address - Country:US
Mailing Address - Phone:614-850-9636
Mailing Address - Fax:614-850-9633
Practice Address - Street 1:3535 FISHINGER BLVD
Practice Address - Street 2:SUITE 262
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7504
Practice Address - Country:US
Practice Address - Phone:614-850-9636
Practice Address - Fax:614-850-9633
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-0194481223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics