Scully, John Robert

Scully, John Robert is an individual health care provider with primary practice located at 5 Rockcliff Pl , Asheville NC 28801-4510. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Scully, John Robert can be contacted via phone (828) 255-7781.

Contact Information

Primary practice address
5 Rockcliff Pl Asheville NC 28801-4510
Phone: (828) 255-7781
Fax: (828) 258-3770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 4531 North Carolina

Profile Details

NPI number 1659389328
LBN Legal business name Scully, John Robert
Credentials D.D.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Aug 14th, 2008 - about 16 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 1659389328 NPPES
North Carolina Other 4531 NC STATE DENTAL BOARD
North Carolina MEDICAID 8997627 NC STATE DENTAL BOARD

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