Provider Demographics
NPI:1447429709
Name:SCOTT, HUBERT RANDOLPH III (DDS)
Entity type:Individual
Prefix:DR
First Name:HUBERT
Middle Name:RANDOLPH
Last Name:SCOTT
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 DWIGHT RD STE 4
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1949
Mailing Address - Country:US
Mailing Address - Phone:413-798-0074
Mailing Address - Fax:
Practice Address - Street 1:66 DWIGHT RD STE 4
Practice Address - Street 2:
Practice Address - City:LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01106-1949
Practice Address - Country:US
Practice Address - Phone:413-798-0074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN220881223E0200X, 1223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics