DR. MARK ALAN SCANTLAN (NPI# 1457575094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457575094 |
| Entity Type | Individual |
| Full Name | DR. MARK ALAN SCANTLAN |
| Credential | D.D.S. |
| Practice Address |
675 Dunsford Dr Sullivan MO 63080-1267 |
| Practice Telephone | 5734682774 |
| Practice Fax Number | 5734682008 |
| Mailing Telephone | 5734682774 |
| Mailing Fax Number | 5734682008 |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | MO14700 | MO | Dental Providers |
| Street Address |
675 DUNSFORD DR |
| City | SULLIVAN |
| State | MO |
| Zip Code | 63080-1267 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619007127 | Scantlan & Rowbottom, D.d.s., P.C. | Dentist | 675 Dunsford Dr, Sullivan, MO 63080-1267 | 2007-03-06 |
| 1619194909 | Aaron Chauncey Rowbottom | Dentist | 675 Dunsford Dr, Sullivan, MO 63080-1267 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896650 | Lindsay Nicole Arnette | Physical Therapist | 940 Mattox Drive, Meramec Nursing Center, Sullivan, MO 63080 | 2014-02-11 |
| 1407099500 | Victorian Manor of Sullivan | Assisted Living Facility | 1250 East Springfield Rd, Sullivan, MO 63080 | 2009-04-20 |
| 1578729992 | Bio-medical Applications of Missouri, Inc. | Clinic/Center | 123 Progress Parkway, Sullivan, MO 63080 | 2008-08-05 |
| 1386826089 | Sellers Family Chiropractic PC | Chiropractor | 405 Wal Mart Drive, Sullivan, MO 63080 | 2007-12-04 |
| 1740495282 | Tasha Marie Rodriguez | Physical Therapist | 107 Congress Dr., Sullivan, MO 63080 | 2007-05-10 |
| 1033261649 | Clyde William Sellers II | Chiropractor | 405 Walmart Dr., Sullivan, MO 63080 | 2007-01-17 |
| 1407954209 | Sara Skidmore | Occupational Therapist | 2022 Phoenix Drive, Sullivan, MO 63080 | 2006-09-20 |
| 1083724116 | Sharon A Titter | Physical Therapist | 107 Progress Dr, Sullivan, MO 63080 | 2006-08-30 |
| 1437135571 | Thanh Duy Vo | Pediatrics | 486 N Church St, Sullivan, MO 63080 | 2005-12-20 |
| 1508849316 | Air Evac Ems Inc | Ambulance | 673 Sappington Bridge Rd, Sullivan, MO 63080 | 2005-11-25 |
| Find all providers in zip 63080 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184285561 | Christopher James John Havlik | Dentist | 6 Hawthorne Ln, Sullivan, IL 61951-9489 | 2019-06-26 |
| 1871996199 | Sullivan Family Dentistry, LLC | Dentist | 2186 N Hospital Blvd., Suite 1, Sullivan, IN 47882-0468 | 2014-10-01 |
| 1659718336 | Neil Lynn Smith | Dentist | 118 S. Court St., Sullivan, IN 47882 | 2013-06-04 |
| 1013180389 | James Ray Cuneio | Dentist | 20 Hughes Ford Rd, Sullivan, MO 63080-1926 | 2008-04-08 |
| 1588706931 | John Hamblin | Dentist | 413 Walmart Dr, Sullivan, MO 63080-3327 | 2007-02-13 |
| 1841331188 | John Michael Steele | Dentist | 102 S Section St, Sullivan, IN 47882-1805 | 2007-02-09 |
| 1235241001 | William Douglas Havlik | Dentist | 2 West Adams, Sullivan, IL 61951-1943 | 2006-08-31 |
| 1659382778 | Craig Harris | Dentist | 10 Community Plz, Sullivan, MO 63080-1567 | 2006-08-11 |
| 1891785416 | Dale P Falk | Dentist | W575 Highway 18, Sullivan, WI 53178-9520 | 2005-10-25 |
| 1285275552 | Ijeoma Grace Elobuike | Dentist | 101 Progress Pkwy, Sullivan, MO 63080-2359 | 2019-10-08 |
| Find all providers in SULLIVAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.