| Dr. Jennifer L Scott | |
|
2601 Bolton Boone Dr Desoto TX 75115-2011 | |
| (972) 296-6655 | |
| (972) 296-6701 |
| Full Name | Dr. Jennifer L Scott |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2601 Bolton Boone Dr, Desoto, Texas |
| Authorized Official Name and Position | Jennifer Lee Scott (OWNER) |
| Authorized Official Contact | 9722966655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Jennifer L Scott 2601 Bolton Boone Dr Desoto TX 75115-2011 Ph: (972) 296-6655 | Dr. Jennifer L Scott 2601 Bolton Boone Dr Desoto TX 75115-2011 Ph: (972) 296-6655 |
| NPI Number | 1174049910 |
|---|---|
| Provider Enumeration Date | 08/14/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174049910 | NPI | - | NPPES |
| 1386751436 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 16094 (Texas) | Primary |
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