Provider Demographics
NPI:1740622349
Name:SCOTT, ANNE MARIE (DDS)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:MARIE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 EUBANK BLVD NE
Mailing Address - Street 2:SUITE 14
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3465
Mailing Address - Country:US
Mailing Address - Phone:505-293-8011
Mailing Address - Fax:505-715-5864
Practice Address - Street 1:3900 EUBANK BLVD NE
Practice Address - Street 2:SUITE 14
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3465
Practice Address - Country:US
Practice Address - Phone:505-293-8011
Practice Address - Fax:505-715-5864
Is Sole Proprietor?:No
Enumeration Date:2013-07-24
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD3955122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist