Dr. Scott Antonio, D.M.D.
Dentist in Pensacola, FL. Individual provider (NPI-1).
NPI number1487035580
StatusActive
Last updated in NPPESFeb 15, 2023
Details
- NPI
- 1487035580
- Entity type
- Individual (NPI-1)
- Name
- Dr. Scott Antonio
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 15, 2015
- Certification date
- Feb 15, 2023
- Last updated
- Feb 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN21199 | FL | Yes |
| 1223G0001X | Dentist, General Practice | 8542 | SC |
Practice location
151 W Airport BlvdPensacola, FL 32505-2245
Phone 850-477-5252 · Fax 850-477-5532
Mailing address
151 W Airport BlvdPensacola, FL 32505-2245
Phone 239-218-9614 · Fax 850-477-5532
Other practice locations
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