Provider Demographics
NPI:1447493424
Name:ASNIS, SCOTT G (DDS)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:G
Last Name:ASNIS
Suffix:
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 1:1230 MAMARONECK AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5229
Mailing Address - Country:US
Mailing Address - Phone:914-684-7045
Mailing Address - Fax:914-684-7047
Practice Address - Street 1:1230 MAMARONECK AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-5229
Practice Address - Country:US
Practice Address - Phone:914-684-7045
Practice Address - Fax:914-684-7047
Is Sole Proprietor?:No
Enumeration Date:2009-04-07
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038460122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist