NPI
Andrea Matli Scoville
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- DDS
- Type
- Individual
- Enumeration date
- 2007-04-11
- Last updated
- 2016-08-24
Specialties
Licenses
- License OK
- 4530
Location
- Practice location
- 601 W 2nd Street
- City
- Watonga OK
- Postal code
- 73772-2601
- Phone
- (580) 623-7121
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Watonga, OK. 109 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.