Provider Demographics
NPI:1144533266
Name:FOLKMAN, SCOTT C (DMD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:C
Last Name:FOLKMAN
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 N 3050 W
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-8822
Mailing Address - Country:US
Mailing Address - Phone:801-544-3400
Mailing Address - Fax:801-544-3402
Practice Address - Street 1:3225 W GORDON AVE
Practice Address - Street 2:STE G
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-6508
Practice Address - Country:US
Practice Address - Phone:801-544-3400
Practice Address - Fax:801-544-3402
Is Sole Proprietor?:No
Enumeration Date:2010-07-18
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8711223P0221X
UT8224117-99231223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry