Provider Demographics
NPI:1992005334
Name:CULPEPPER, SCOTT BALDWIN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:BALDWIN
Last Name:CULPEPPER
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 1:24 FRANKLIN CT
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-6109
Mailing Address - Country:US
Mailing Address - Phone:804-873-9559
Mailing Address - Fax:804-873-9559
Practice Address - Street 1:DENTAL 365
Practice Address - Street 2:422 5TH AVE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215
Practice Address - Country:US
Practice Address - Phone:718-832-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0548983-11223G0001X
VA04014127841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice