Scott, Mona Lisa

Scott, Mona Lisa is an individual health care provider with primary practice located at 600 Rayder Ave , Loudon TN 37774-1050. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Scott, Mona Lisa can be contacted via phone (465) 458-2662.

Contact Information

Primary practice address
600 Rayder Ave Loudon TN 37774-1050
Phone: (465) 458-2662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 10611 Tennessee

Profile Details

NPI number 1639225394
LBN Legal business name Scott, Mona Lisa
Credentials Registered Dental Assistant (RDA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Jul 8th, 2007 - about 18 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 1639225394 NPPES
Tennessee Other 10611 REGISTERED DENTAL ASSISTA

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