Scott Jeffrey Self in Dyersburg - Dentist
Scott Jeffrey Self - NPI 1154434926
Scott Jeffrey Self is a Dentist in Dyersburg, Tennessee. Scott Jeffrey Self practices all healthcare services and medical treatments related to Dentist. The NPI Number for Scott Jeffrey Self is 1154434926. The last update date is 2007-07-08.
Scott Jeffrey Self's current location address is Po Box 607, Dyersburg, Tennessee. You can contact this provider via phone number 7312858890 and fax number 7312858790. The mailing address for Scott Jeffrey Self is Po Box 607, Dyersburg, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Jeffrey Self |
|---|---|
| Address | Po Box 607, Dyersburg, Tennessee |
| Phone Number | 7312858890 |
| Fax Number | 7312858790 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1154434926 |
|---|---|
| Provider Enumeration Date | 2006-08-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 607 |
|---|---|
| City | Dyersburg |
| State | Tennessee (TN) |
| Post Code | 380250607 |
| Phone Number | 7312858890 |
| Fax Number | 7312858790 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DS7535 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique identification code assigned to Scott Jeffrey Self by the Centers for Medicare & Medicaid Services?
The Scott Jeffrey Self has been issued the NPI (National Provider Identifier) 1154434926. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Scott Jeffrey Self located?
The Scott Jeffrey Self is located at Po Box 607, Dyersburg, TN 380250607.
What is Scott Jeffrey Self's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Scott Jeffrey Self is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Scott Jeffrey Self receive the assignment of its 1154434926 from the Centers for Medicare & Medicaid Services?
The Scott Jeffrey Self was issued its 1154434926 by the Centers for Medicare & Medicaid Services on 2006-08-16.
As of what date was the information pertaining to Scott Jeffrey Self, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Scott Jeffrey Self, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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