Provider Demographics
NPI:1316261878
Name:MYSER, SCOTT ANTHONY (DDS, MS)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ANTHONY
Last Name:MYSER
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:311 S. FM 1187
Mailing Address - Street 2:SUITE D
Mailing Address - City:ALEDO
Mailing Address - State:TX
Mailing Address - Zip Code:76008
Mailing Address - Country:US
Mailing Address - Phone:817-441-8700
Mailing Address - Fax:817-441-7715
Practice Address - Street 1:311 S. FM 1187
Practice Address - Street 2:SUITE D
Practice Address - City:ALEDO
Practice Address - State:TX
Practice Address - Zip Code:76008
Practice Address - Country:US
Practice Address - Phone:817-441-8700
Practice Address - Fax:817-441-7715
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-25
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX238821223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics