Virginia G Scott DDS
Dentist, General Practice in Pardeeville, WI. Organization (NPI-2).
NPI number1407976830
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1407976830
- Entity type
- Organization (NPI-2)
- Legal business name
- Virginia G Scott DDS
- Organization subpart
- No
- Enumeration date
- Mar 30, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4505 | WI | Yes |
Other names
- Pardeeville Family Dentistry LLC (Doing Business As)
Practice location
403 W. Chestnut St.Pardeeville, WI 53954
Phone 608-429-3175 · Fax 608-429-3776
Mailing address
403 W. Chestnut St.P.O. Box 127
Pardeeville, WI 53954-0127
Phone 608-429-3175 · Fax 608-429-3776
Authorized official
Virginia G Scott
Owner
6084293175
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