Dental Board of California
Licensing details for: 64781
Name: EWING, SCOTT GAVIN
License Type: Dentist
Primary Status: Current - Active
Secondary Status: Licensure by Residency
Method of Application: Licensure by Residency
Address of Record
901 Sunvalley Blvd Ste 240
CONCORD CA 94520-5817
CONTRA COSTA county
Map
License Relationships
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: SMILE MAKERS DENTAL CARE DENTAL PRACTICE OF S. GAVIN EWING, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 15004 Primary Status: Current - Active
Address :
901 SUN VALLEY BLVD SUITE 240
CONCORD CA 94520
CONTRA COSTA COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: SMILE MAKERS DENTAL CARE DENTAL PRACTICE OF S. GAVIN EWING, DDS, INC.
License/Registration Type: Fictitious Name Permit
License Number: 15004 Primary Status: Current - Active
Address :
901 SUN VALLEY BLVD SUITE 240
CONCORD CA 94520
CONTRA COSTA COUNTY
MS to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: Moderate Sedation Permit
Name: EWING, SCOTT GAVIN
License/Registration Type: Moderate Sedation Permit
License Number: 172 Primary Status: Current - Active
Address :
901 Sunvalley Blvd Ste 240
CONCORD CA 94520-5817
CONTRA COSTA COUNTY
