Provider Demographics
NPI:1336363134
Name:PARMITER, SCOTT C (DDS)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:C
Last Name:PARMITER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:SCOTT
Other - Middle Name:
Other - Last Name:PARMITER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:1801 J L TODD DR
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30161-5012
Mailing Address - Country:US
Mailing Address - Phone:706-290-7770
Mailing Address - Fax:706-290-7772
Practice Address - Street 1:1801 J L TODD DR
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30161-5012
Practice Address - Country:US
Practice Address - Phone:706-290-7770
Practice Address - Fax:706-290-7772
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2023-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA112201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
1861122780OtherNPI2
GA850321OtherUNITED CONCORDIA PROVIDER