Dr. Jason M Scully, DDS
Dentist, General Practice in Fairfield, Connecticut
1427142918- Practice location
- 69 Sherman Street, Fairfield, CT 06824
- Phone
- 203-255-1545
- Fax
- 203-255-7530
- Last updated
- July 8, 2007
Jason Malcolm Scully is a Dentist, General Practice based in Fairfield, CT. Jason Malcolm Scully practices in Fairfield, CT and has the professional credentials of DDS. The NPI Number for Jason Malcolm Scully is 1427142918 and holds a License No. 8632 (CT). The current practice location address for Jason Malcolm Scully is 69 Sherman Street, Fairfield, CT 06824 and can be reached out via phone at 203-255-1545 and via fax at 203-255-7530.
Provider Profile Details
- NPI Number
- 1427142918
- Provider Name
- Jason Malcolm Scully
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 69 Sherman Street, Fairfield, CT 06824
- Phone Number
- 203-255-1545
- Fax Number
- 203-255-7530
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 2, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 69 Sherman Street
Fairfield, CT 06824 - City
- Fairfield
- State
- Connecticut
- Zip
- 06824
- Phone Number
- 203-255-1545
- Fax Number
- 203-255-7530
Provider Business Mailing Address Details
- Address
- 407 Meadowbrook Road
Fairfield, CT 06824 - City
- Fairfield
- State
- CT
- Zip
- 06824
- Phone Number
- 203-255-1545
- Fax Number
- 203-255-7530
License Information
- License Number
- 8632
- License State
- CT
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jason M Scully, DDS?
The NPI number of Dr. Jason M Scully, DDS is 1427142918. It was assigned on October 2, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jason M Scully, DDS?
Dr. Jason M Scully, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 8632.
Where does Dr. Jason M Scully, DDS practice?
The practice location is 69 Sherman Street, Fairfield, CT 06824. The office can be reached at 203-255-1545 (phone) or 203-255-7530 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427142918 directly on the NPPES registry website.