SCOTT DENTAL GROUP L L C (NPI# 1073828786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073828786 |
| Entity Type | Organization |
| Organization Name | SCOTT DENTAL GROUP L L C |
| Other Organization Name | SCOTT DENTAL GROUP L L C |
| Practice Address |
633 N Union St Loudonville OH 44842-1074 |
| Practice Telephone | 4199943111 |
| Practice Fax Number | 4199944078 |
| Mailing Telephone | 4199943111 |
| Mailing Fax Number | 4199944078 |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |
| Authorized Official Name | DR. DARREL L SCOTT (OWNER) |
| Authorized Official Telephone | 4199943111 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
16373 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0436611 | 05 | |
| OH | 2969097 | 05 |
| Other Name | Type Code |
|---|---|
| Scott Dental Group L L C | Doing Business As Name - Organization |
| Street Address |
633 N UNION ST |
| City | LOUDONVILLE |
| State | OH |
| Zip Code | 44842-1074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124175997 | Darrel L Scott | Dentist | 633 N Union St, Loudonville, OH 44842-1074 | 2007-01-04 |
| 1104448141 | Mara Cooperrider | Dentist | 633 N Union St, Loudonville, OH 44842-1074 | 2020-05-13 |
| 1174752992 | Tyler Lynn Scott | Dentist | 633 N Union St, Loudonville, OH 44842-1074 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821599416 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 596 Hagan Dr, Loudonville, OH 44842 | 2018-02-28 |
| 1093216681 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 114 Banks Ave, Loudonville, OH 44842 | 2018-02-28 |
| 1922509512 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 150 Banks Ave, Loudonville, OH 44842 | 2018-02-28 |
| 1285135871 | Rem Ohio Inc | Intermediate Care Facility, Mentally Retarded | 207 Middle Dr, Loudonville, OH 44842 | 2018-02-28 |
| 1346263563 | Loudonville Family Vision Inc | Optometrist | 631 N Union St, Loudonville, OH 44842 | 2006-07-26 |
| 1316170913 | Jennifer Leigh Goss | Licensed Practical Nurse | 118 W Loudon Ave, Loudonville, OH 44842-1021 | 2009-08-28 |
| 1457502353 | Joshua E Kaufman | Counselor | 637 N Market St, Loudonville, OH 44842-1029 | 2008-10-09 |
| 1578071262 | Michael Bitner | Nurse Practitioner | 546 N Union St, Loudonville, OH 44842-1040 | 2018-01-16 |
| 1538799325 | Dominique B James | Nurse Practitioner | 546 N Union St, Loudonville, OH 44842-1040 | 2020-01-21 |
| 1790771160 | Teresa T Cooperrider | Optometrist | 637 N Union St, Loudonville, OH 44842-1074 | 2005-09-21 |
| Find all providers in zip 44842 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609034495 | Albany Advanced Dental Care | Clinic/Center | 562 Albany Shaker Rd, Loudonville, NY 12211-2118 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730789777 | Jennifer A. Lowe-melzak, Dds, LLC | Clinic/Center | 3349 Whitfield Ave Ste 1, Cincinnati, OH 45220-2084 | 2020-10-29 |
| 1073120580 | Sunbury Dental Group Joseph W Papp Dds LLC | Clinic/Center | 450 S Miller Dr Ste 200, Sunbury, OH 43074-9024 | 2020-09-29 |
| 1093329914 | Travis Clark Dds LLC | Clinic/Center | 1248 Columbus Ave Ste 8, Lebanon, OH 45036-9005 | 2020-09-08 |
| 1336752344 | New Day Centerville LLC | Clinic/Center | 8340 Yankee St, Centerville, OH 45458-1808 | 2020-08-28 |
| 1891308029 | Magnolia Grove City LLC | Clinic/Center | 2053 Stringtown Rd, Grove City, OH 43123-2930 | 2020-08-27 |
| 1215549290 | Patel Family Dental LLC | Clinic/Center | 100 Scott Farms Blvd, Marysville, OH 43040-7069 | 2020-08-20 |
| 1245858083 | Jacko & Siefker Dds, LLC | Clinic/Center | 210 Heritage Dr, Wellington, OH 44090-8949 | 2020-07-08 |
| 1417572595 | Southern Ohio Mini Dental Implant Center | Clinic/Center | 41 E South St, Jackson, OH 45640-1638 | 2020-06-15 |
| 1508499567 | Westlake Endodontics LLC | Clinic/Center | 30400 Detroit Rd Ste 209, Westlake, OH 44145-1855 | 2020-02-18 |
| 1629617980 | Randall Niederkohr,d.d.s,inc. | Clinic/Center | 27 St Lawrence Dr Ste 109, Tiffin, OH 44883-8314 | 2020-01-03 |
| Find all providers with the same taxonomy | ||||
| City | LOUDONVILLE |
| Zip Code | 44842 |
Please comment or provide details below to improve the information on SCOTT DENTAL GROUP L L C.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.