Scoles, Marc H

Scoles, Marc H is an individual health care provider with primary practice located at 416 New London Tpke , Glastonbury CT 06033-2237. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Scoles, Marc H can be contacted via phone (860) 633-3671.

Contact Information

Primary practice address
416 New London Tpke Glastonbury CT 06033-2237
Fax: (860) 633-9128
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4892 Connecticut

Profile Details

NPI number 1962533125
LBN Legal business name Scoles, Marc H
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962533125 NPPES
Connecticut MEDICAID 2048924
Connecticut Other 020004892CT01

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