IndividualActive
Scott Mazanec, DDS
NPI 1063415917 · General Practice Dentistry · Fairchild Afb, WA
Provider details
- NPI number
- 1063415917
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 30-01-8081 (OH)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
21 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
709 Hospital Loop Ste 118
Fairchild Afb, WA 99011-8705
Phone: (509) 465-0995
Fax: (509) 247-4140
Approximate (ZIP-level) locationGet directions
Mailing address
709 Hospital Loop Ste 118
Fairchild Afb, WA 99011-8705
Registry dates
- Enumerated
- 2005-05-24
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.