Chandler, Scott M

Chandler, Scott M is an individual health care provider with primary practice located at 3080 Pinebrook Rd Ste 2000 , Park City UT 84098-5451. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Chandler, Scott M can be contacted via phone (801) 465-1810.

Contact Information

Primary practice address
3080 Pinebrook Rd Ste 2000 Park City UT 84098-5451
Fax: (801) 465-1810
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7526337-9922 Utah

Profile Details

NPI number 1699883520
LBN Legal business name Chandler, Scott M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated Jan 18th, 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 1699883520 NPPES
Idaho MEDICAID 806034600

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