Provider Demographics
NPI:1104931674
Name:WHITNEY, SCOTT I (DDS)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:I
Last Name:WHITNEY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7374 S ALTON WAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2368
Mailing Address - Country:US
Mailing Address - Phone:303-397-7668
Mailing Address - Fax:303-397-7669
Practice Address - Street 1:7374 S ALTON WAY
Practice Address - Street 2:SUITE 103
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2368
Practice Address - Country:US
Practice Address - Phone:303-397-7668
Practice Address - Fax:303-397-7669
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODEN82121223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
COBW7040607OtherDEA