Provider Demographics
NPI:1841478815
Name:SCOTT A TURIK DDS PA
Entity type:Organization
Organization Name:SCOTT A TURIK DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:TURIK
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-284-2254
Mailing Address - Street 1:PO BOX 483
Mailing Address - Street 2:105 N CORBETT AVENUE
Mailing Address - City:KENLY
Mailing Address - State:NC
Mailing Address - Zip Code:27542-0483
Mailing Address - Country:US
Mailing Address - Phone:919-284-2254
Mailing Address - Fax:
Practice Address - Street 1:105 N CORBETT AVE
Practice Address - Street 2:
Practice Address - City:KENLY
Practice Address - State:NC
Practice Address - Zip Code:27542-0483
Practice Address - Country:US
Practice Address - Phone:919-284-2254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC51941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8998615Medicaid