Dr. Scott W Clinton, DDS
Dentist, General Practice in Des Plaines, IL. Individual provider (NPI-1).
NPI number1811076094
StatusActive
Last updated in NPPESJul 6, 2011
Details
- NPI
- 1811076094
- Entity type
- Individual (NPI-1)
- Name
- Dr. Scott W Clinton
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 6, 2006
- Last updated
- Jul 6, 2011
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 |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 319006457 | IL | Yes |
Practice location
1011 E. Touhy AveSuite 125
Des Plaines, IL 60018
Phone 847-376-8824 · Fax 847-813-9512
Mailing address
1011 E. Touhy AveDes Plaines, IL 60018
Phone 847-376-8824 · Fax 847-813-9512
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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