Mark Brent Scott II, DMD
Dentist in Louisville, KY. Individual provider (NPI-1).
NPI number1578791109
StatusActive
Last updated in NPPESApr 27, 2023
Details
- NPI
- 1578791109
- Entity type
- Individual (NPI-1)
- Name
- Mark Brent Scott II
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 22, 2009
- Certification date
- Apr 27, 2023
- Last updated
- Apr 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 8798 | KY | Yes |
Practice location
2503 Bush Ridge DriveSuite C
Louisville, KY 40245
Phone 502-240-0649 · Fax 502-240-0649
Mailing address
2503 Bush Ridge DriveSuite C
Louisville, KY 40245
Phone 502-240-0649 · Fax 502-240-0649
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