| Scott L Bolding Dds Ms Pc | |
|
703 Main St Dept Of Paterson NJ 07503-2621 | |
| (973) 754-2290 | |
| (973) 754-2633 |
| Full Name | Scott L Bolding Dds Ms Pc |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 703 Main St Dept Of, Paterson, New Jersey |
| Authorized Official Name and Position | Scotty L Bolding (OWNER) |
| Authorized Official Contact | 4799574611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scott L Bolding Dds Ms Pc Po Box 8880 Fayetteville AR 72703-0015 Ph: (479) 313-8637 | Scott L Bolding Dds Ms Pc 703 Main St Dept Of Paterson NJ 07503-2621 Ph: (973) 754-2290 |
| NPI Number | 1467077354 |
|---|---|
| Provider Enumeration Date | 06/16/2020 |
| Last Update Date | 06/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467077354 | NPI | - | NPPES |
| 22DI02335601 | Other | NJ | NJ STATE BRANCH LICENSE |
| 22DI02335600 | Other | NJ | NJ STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
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