Scott K Mock | Daly City, CA • PECOS Search

Scott K Mock

Dentist

Dental Providers

901 Campus Dr, Suite 307, Daly City, CA 94015-4900

PECOS Enrollment

Based on the most recent information from CMS, provider Scott K Mock does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1053538215
Provider Type
Individual
Full Name
Mock, Scott K
Title
Dr.
Credential
D.D.S., M.P.H.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/19/2007
Last Updated
7/8/2007

Contact Information

Practice Location

901 Campus Dr, Suite 307, Daly City, CA 94015-4900

Unlisted Fax

Mailing Location

901 Campus Dr, Suite 307, Daly City, CA 94015-4900

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 36682 California