Provider Demographics
NPI:1447333406
Name:OHMART, SCOTT W (DDS,MS,PC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:W
Last Name:OHMART
Suffix:
Gender:M
Credentials:DDS,MS,PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10146 W SAN JUAN WAY UNIT 230
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-6326
Mailing Address - Country:US
Mailing Address - Phone:303-979-0211
Mailing Address - Fax:303-979-9263
Practice Address - Street 1:10146 W SAN JUAN WAY UNIT 230
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-6326
Practice Address - Country:US
Practice Address - Phone:303-979-0211
Practice Address - Fax:303-979-9263
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO68741223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics