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Octavius Scott, RDH

NPI 1285471052 · on the registry since 2024 · sole proprietor

Practice

Address
4300 Duraform Ln
Windsor, WI 53598
Phone
(877) 837-1918
Organisation at this address
Complete Mobile Dentistry, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
124Q00000X
124Q00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin