SCOTT CHARLES PUGH


Address: 11136 Moss Ln, Nampa, ID 83651
Phone: 2084660515

SCOTT CHARLES PUGH (NPI# 1699078691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699078691
Entity Type Individual
Full Name SCOTT CHARLES PUGH
Credential DDS
Practice Address 11136 Moss Ln
Nampa
ID 83651
Mailing Address Po Box 9
Nampa
ID 83653-0009
Practice Telephone 2084660515
Practice Fax Number 2084425338
Mailing Telephone 2084674431
Mailing Fax Number 2084665359
Enumeration Date 2010-12-13
Last Update Date 2019-08-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
D-4628 ID Dental Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1960 N Date St, T Or C, NM 879013701 5758947662 5758947930

Other Providers SCOTT PUGH

NPI Name Taxonomy Address Enumeration
1285070458 Scott Daniel Pugh Counselor 183 1st St Ne, Cleveland, TN 37311 2013-05-15
1477075216 Scott Zachary Pugh Dentist 115 Gatewood Ave, High Point, NC 27262-4944 2017-07-13
1164599247 Scott Michael Pugh Pediatrics 919 Conestoga Rd, Bldg. 3, Suite 111, Bryn Mawr, PA 19010-1352 2006-11-30

Office Location

Street Address 11136 MOSS LN
City NAMPA
State ID
Zip Code 83651

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386875136 Quinn J Smith Dentist 11136 Moss Ln, Nampa, ID 83651-8015 2009-07-28
1124689997 Jocelyn Limerick Dentist 11136 Moss Ln, Nampa, ID 83651-8015 2019-06-24
1205248556 Trever Gray Dentist 11136 Moss Ln, Nampa, ID 83651-8015 2014-05-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376090985 Stephen Michael Wren Physician Assistant 11035 W Karcher Rd, Nampa, ID 83651 2016-09-01
1104203157 Jeremy Thorson Social Worker 456 West Orchard Ave., Apt D305, Nampa, ID 83651 2015-04-29
1134527708 Community Health Clinics Inc Clinic/Center 207 1st Street S, Nampa, ID 83651 2014-12-15
1326455429 Michelle Murchie Pharmacist 175 S. Middleton Rd, Nampa, ID 83651 2014-07-21
1700215373 Stanley A Gillett Chiropractor 107 14th Ave S, Nampa, ID 83651 2013-11-04
1477996205 James L Fries Counselor 847 Park Centre Way, Suite 5, Nampa, ID 83651 2013-04-11
1023367240 Erin Westfall Speech-Language Pathologist 168 Mcclure Avenue, Nampa, ID 83651 2012-09-04
1487949475 Erik Steven Linn Family Medicine 11035 W. Karcher Road, Nampa, ID 83651 2011-06-17
1720398647 At Your Service Home Health Care LLC In Home Supportive Care 321 2nd St S Ste 103, Nampa, ID 83651 2010-10-13
1144544206 Petra Morrison Community/Behavioral Health 1031 W. Sanetta St., Nampa, ID 83651 2010-03-18
Find all providers in zip 83651

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598254336 Ns and Associates Pllc Dentist 16375 N Merchant Way, Nampa, ID 83687-5380 2018-05-08
1891122776 Bradford B. Fisher Dentistry, Pllc Dentist 207 7th Ave S, Nampa, ID 83651-3846 2013-10-09
1619302080 David Lyle Farris Dentist 16548 North Franklin Blvd., Nampa, ID 83687 2013-09-04
1992938674 William Chad Wolff Dentist 5550 East Franklin Road, Nampa, ID 83687-7910 2009-08-28
1609003466 Andrew A Thuernagle Dentist 3161 E Greenhurst Rd, Nampa, ID 83686-8655 2009-06-18
1891921052 Idaho Dental Aid, Pllc Dentist 604 3rd St S, Nampa, ID 83651-3840 2009-06-02
1285884056 Aspen Creek Dental Pllc Dentist 6144 Birch Ln, Nampa, ID 83687-4148 2008-09-29
1972764058 Awp Dental Group Dentist 16377 N Market Place Blvd, Nampa, ID 83687-7910 2008-06-20
1902077001 Gentle Dental Care Pllc Dentist 1601 12th Ave Rd Ste 103, Nampa, ID 83686-6185 2008-03-17
1205958899 Scott Hiromi Kido Dentist 341 W Iowa Ave, Nampa, ID 83686-2856 2007-04-04
Find all providers in NAMPA

Competitor

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City NAMPA
Zip Code 83651

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Dataset Information

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.

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