Scott, Stanley John
Scott, Stanley John is an sole proprietor health care provider with primary practice located at 5020 Lake Shore Rd , Hamburg NY 14075-5719. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Scott, Stanley John can be contacted via phone (716) 627-7200.Contact Information
Primary practice address
5020 Lake Shore Rd
Hamburg NY 14075-5719
Phone: (716) 627-7200
Fax: (716) 627-7279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 031610 | New York |
Profile Details
| NPI number | 1871647206 |
|---|---|
| LBN Legal business name | Scott, Stanley John |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871647206 | NPPES |
| Pennsylvania | Other | 114438 | UNITED CONCORDIA |
| Pennsylvania | MEDICAID | 00613676 | UNITED CONCORDIA |
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