Provider Demographics
NPI:1871572479
Name:SCOTT, JEFFREY HAMPTON (DDS)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:HAMPTON
Last Name:SCOTT
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 1:202 WB MCLEAN DR.
Mailing Address - Street 2:
Mailing Address - City:CAPE CARTERET
Mailing Address - State:NC
Mailing Address - Zip Code:28584
Mailing Address - Country:US
Mailing Address - Phone:252-393-8168
Mailing Address - Fax:252-393-2978
Practice Address - Street 1:202 WB MCLEAN DR.
Practice Address - Street 2:
Practice Address - City:CAPE CARTERET
Practice Address - State:NC
Practice Address - Zip Code:28584
Practice Address - Country:US
Practice Address - Phone:252-393-8168
Practice Address - Fax:252-393-2978
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2011-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC80301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice