Provider Demographics
NPI:1235210220
Name:SCOTT, MEGANN WAKELEE (DDS)
Entity type:Individual
Prefix:
First Name:MEGANN
Middle Name:WAKELEE
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 NICHOLS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-2036
Mailing Address - Country:US
Mailing Address - Phone:888-833-8441
Mailing Address - Fax:888-373-9612
Practice Address - Street 1:435 NICHOLS RD STE 200
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-2036
Practice Address - Country:US
Practice Address - Phone:888-833-8441
Practice Address - Fax:888-373-9612
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2019022677122300000X
OK59131223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2019022677OtherMISSOURI DENTAL LICENSE