Scott, Jon L

Scott, Jon L is an sole proprietor health care provider with primary practice located at 2108 Hartford Rd , Hampton VA 23666-2409. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Scott, Jon L can be contacted via phone (757) 825-6280.

Contact Information

Primary practice address
2108 Hartford Rd Hampton VA 23666-2409
Fax: (757) 825-4995
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 5160 Virginia

Profile Details

NPI number 1831180264
LBN Legal business name Scott, Jon L
Credentials DDS, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2005
Last updated Apr 15th, 2013 - about 11 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 1831180264 NPPES
Virginia MEDICAID 030435758

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