Provider Demographics
NPI:1518045079
Name:TURIK, SCOTT A (DDS)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:A
Last Name:TURIK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 EAST SECOND ST
Mailing Address - Street 2:POB 483
Mailing Address - City:KENLY
Mailing Address - State:NC
Mailing Address - Zip Code:27542
Mailing Address - Country:US
Mailing Address - Phone:919-284-2254
Mailing Address - Fax:
Practice Address - Street 1:409 EAST SECOND ST
Practice Address - Street 2:POB 483
Practice Address - City:KENLY
Practice Address - State:NC
Practice Address - Zip Code:27542
Practice Address - Country:US
Practice Address - Phone:919-284-2254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC51941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8998615Medicaid
NCU38310Medicare UPIN