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NPI 1699748418

IndividualActive

Scott Malthaner, DENTIST DMD

NPI 1699748418 · Periodontics · Keesler Afb, MS

Provider details

NPI number: 1699748418
Entity type: Individual
Primary specialty: PeriodonticsDental Providers
Credential: DENTIST DMD
Sex: Male
Sole proprietor: No
License: DS029123L (PA)

Practice location

301 Fisher St

Keesler Afb, MS 39534-2508

Phone: (228) 376-5123

More MS providers

Mailing address

301 Fisher St

Keesler Afb, MS 39534-2508

Registry dates

Enumerated: 2006-02-10
Last updated: 2021-08-10

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Scott Malthaner, DENTIST DMD — NPI 1699748418, Keesler Afb, MS | NPI Central