Brown, Scott

Brown, Scott is an sole proprietor health care provider with primary practice located at 695 S Broadway Ave , Bartow FL 33830-4615. He recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Dental Providers / Dentist, Suppliers / Durable Medical Equipment & Medical Supplies, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Brown, Scott can be contacted via phone (863) 533-0955.

Contact Information

Primary practice address
695 S Broadway Ave Bartow FL 33830-4615
Phone: (863) 533-0955
Fax: (863) 533-6468
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X
Dental Providers / Dentist 122300000X DN20406 Florida
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Dental Providers / General Practice 1223G0001X DN20406 Florida

Profile Details

NPI number 1245366194
LBN Legal business name Brown, Scott
Credentials DMD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2007
Last updated Apr 30th, 2019 - about 7 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 1245366194 NPPES
Florida MEDICAID 010156700

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