Harold John Scanlon DDS PC
Dentist in Saint Peters, MO. Organization (NPI-2).
NPI number1679545404
StatusActive
Last updated in NPPESSep 12, 2013
Details
- NPI
- 1679545404
- Entity type
- Organization (NPI-2)
- Legal business name
- Harold John Scanlon DDS PC
- Organization subpart
- No
- Enumeration date
- Feb 6, 2006
- Last updated
- Sep 12, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
3004 S Saint Peters PkwySuite I
Saint Peters, MO 63303-6354
Phone 636-441-1020 · Fax 636-441-4360
Mailing address
4585 Washington StSte A3
Florissant, MO 63033-5858
Phone 314-921-4333 · Fax 314-921-8632
Authorized official
Harold John Scanlon
Owner
3149214333
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