TIMOTHY BRIAN SCOTT (NPI# 1962416016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962416016 |
| Entity Type | Individual |
| Full Name | TIMOTHY BRIAN SCOTT |
| Credential | DDS |
| Practice Address |
716 W South St Benton AR 72015-4160 |
| Practice Telephone | 5017788201 |
| Practice Fax Number | 5017782841 |
| Mailing Telephone | 5017788201 |
| Mailing Fax Number | 5017782841 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3247 | AR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 134921608 | 05 | |
| AR | BLUE CROSS BLUE SHIELD | 5T783 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568734069 | Timothy Albert Scott | Counselor | 311 W Main St., Canton, OK 73724-0281 | 2012-01-31 |
| 1437482478 | Timothy Edward Scott | Military Health Care Provider | 414 Water St, Appt 2201, Baltimore, MD 21202-3203 | 2009-09-09 |
| 1578539102 | Timothy J. Scott | Podiatrist | 22905 Route 68, Clarion, PA 16214-8557 | 2006-02-24 |
| 1639176159 | Timothy D Scott | Chiropractor | 1005 Marion Rd, Bucyrus, OH 44820-3104 | 2005-06-30 |
| 1992310643 | Timothy Wade Scott | Counselor | 283 Butler Rd, Mount Gretna, PA 17064-6085 | 2020-09-10 |
| 1255737862 | Timothy David Scott | Social Worker | 111 County Cir, Middlesex House, Room 205, Amherst, MA 01003-9255 | 2014-11-10 |
| 1942636642 | Timothy Scott | Speech-Language Pathologist | 350 S 8th St, Lebanon, OR 97355-2242 | 2013-09-25 |
| 1871837948 | Timothy Scott | Counselor | 1800 Mercy Dr, Suite 302, Orlando, FL 32808-5646 | 2012-11-15 |
| 1346555240 | Timothy Michael Scott | Emergency Medicine | 4201 Saint Antoine St, Detroit, MI 48201-2153 | 2010-08-16 |
| 1780843821 | Timothy Philip Scott | Physician Assistant | 26750 Providence Pkwy, Suite 200, Novi, MI 48374-1211 | 2008-06-04 |
| Street Address |
716 W SOUTH ST |
| City | BENTON |
| State | AR |
| Zip Code | 72015-4160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790343135 | Justin King | Case Manager/Care Coordinator | 1502 Mary Kay Blv6, Benton, AR 72015 | 2019-05-31 |
| 1790253326 | Seth Alexander Weisheit | Nurse Practitioner | 824 Military Road, Benton, AR 72015 | 2018-11-13 |
| 1396269627 | Abby G Sims | Speech-Language Pathologist | 3391 Peachtree Lane, Benton, AR 72015 | 2017-07-28 |
| 1225551278 | Jessica R Poe | Case Manager/Care Coordinator | 1502 Marykay Blvd, Benton, AR 72015 | 2017-07-21 |
| 1003357997 | Jamaal Langston | Case Manager/Care Coordinator | 1502 Mark Kay Blvd, Benton, AR 72015 | 2017-03-13 |
| 1881138550 | Shannon Gachot-ridgley | Counselor | 205 South Street Suite 3, Benton, AR 72015 | 2016-12-14 |
| 1295104578 | Excel Health of Haskell, Pllc | Clinical Nurse Specialist | 6029 Us Hwy 67, Haskell, AR 72015 | 2015-09-17 |
| 1528464054 | Kacey Jo Kiker | Nurse Practitioner | 620 W South St, Benton, AR 72015 | 2014-11-11 |
| 1700218252 | Jamie Brunt | Licensed Practical Nurse | 1718 Old Hot Springs Rd, Benton, AR 72015 | 2013-08-07 |
| 1760738942 | Kari J Richards | Physical Therapist | 5701 Springhill Rd, Bryant, AR 72015 | 2012-07-25 |
| Find all providers in zip 72015 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396069878 | Lori Lynn Weaver | Dentist | 1037 Kelley, Benton, AR 72019-2216 | 2010-03-26 |
| 1861665515 | Justin Bethel | Dentist | 407 Highway 5 North, Benton, AR 72019 | 2008-04-02 |
| 1508070764 | Kevin B Delatour | Dentist | 808 North Main, Benton, IL 62812 | 2007-05-09 |
| 1053446450 | Jason Dewayne Nicholson | Dentist | 6151 Hwy 411, Benton, TN 37307 | 2007-02-23 |
| 1447321708 | Kathleen A Wall Marks | Dentist | 3310 Highway 5 North, Benton, AR 72019 | 2006-11-10 |
| 1184724650 | Preston Cooper | Dentist | 1215 Military Rd, Suite 5, Benton, AR 72015 | 2006-09-25 |
| 1306951397 | Lendall Carroll Shell | Dentist | 2101 C Congo Rd, Benton, AR 72015 | 2006-08-20 |
| 1447256607 | Brian E. Doss | Dentist | 978 Us Highway 68 E, Benton, KY 42025-7016 | 2005-06-22 |
| 1700309127 | Loredana Banu Wycliffe | Dentist | 216 E Carpenter St, Benton, AR 72015-3418 | 2017-07-18 |
| 1881816403 | Preston Cooper, Dds | Dentist | 1215 Military Rd, Suite 5, Benton, AR 72015 | 2007-05-03 |
| Find all providers in BENTON | ||||
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| 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.