Provider Demographics
NPI:1386748515
Name:SCOTT COUNTY DENTAL CLINIC
Entity type:Organization
Organization Name:SCOTT COUNTY DENTAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:H
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:276-386-1312
Mailing Address - Street 1:112 BEECH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:GATE CITY
Mailing Address - State:VA
Mailing Address - Zip Code:24251-3638
Mailing Address - Country:US
Mailing Address - Phone:276-386-1312
Mailing Address - Fax:276-386-2116
Practice Address - Street 1:112 BEECH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:GATE CITY
Practice Address - State:VA
Practice Address - Zip Code:24251-3638
Practice Address - Country:US
Practice Address - Phone:276-386-1312
Practice Address - Fax:276-386-2116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty