Provider Demographics
NPI:1356991186
Name:SCOTT & OREMOSU DDS ASSOCIATES,PLLC
Entity type:Organization
Organization Name:SCOTT & OREMOSU DDS ASSOCIATES,PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FRONT OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:TALISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-592-6171
Mailing Address - Street 1:PO BOX 365
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28329-0365
Mailing Address - Country:US
Mailing Address - Phone:910-592-6171
Mailing Address - Fax:910-592-8798
Practice Address - Street 1:450 MCKOY ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-2844
Practice Address - Country:US
Practice Address - Phone:910-592-6171
Practice Address - Fax:910-592-8798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-13
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental