Provider Demographics
NPI:1023604907
Name:SCOTT WELLING DDS PLLC
Entity type:Organization
Organization Name:SCOTT WELLING DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:WELLING
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-623-3889
Mailing Address - Street 1:9891 NE DAY RD E
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-3304
Mailing Address - Country:US
Mailing Address - Phone:614-623-3889
Mailing Address - Fax:
Practice Address - Street 1:18825 CALDART AVE NE STE B
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-8714
Practice Address - Country:US
Practice Address - Phone:614-623-3889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental