Scott W Brodie, D.M.D.

NPI #1609051713 in Jacksonville, Oregon

Provider Information

NPI Number: 1609051713
Entity Type: Individual
Name: Scott W Brodie, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.M.D.
Enumeration Date: Jan 8, 2008
Last Updated: Jan 8, 2008

Practice Location

Address: 305 SHAFER LN
City: Jacksonville
State: Oregon
ZIP Code: 97530-9681
Phone: (541) 899-8833

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Organizations

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