Jay D Scott, DDS Valid NPI
Individual provider · General Practice Dentistry · Provo, UT
- NPI
- 1134260102
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 5674148 (UT)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-02-10
- Last updated
- 2010-12-23
Practice location
3330 N University Ave, Suite A
Provo, UT 84604-4453
(801) 375-1965