# DR. JENNIFER L SCOTT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174049910
- **Authorized official:** DR. JENNIFER LEE SCOTT DDS (OWNER)
- **Authorized official phone:** (972) 296-6655

## Contact information

- **Practice address:** 2601 BOLTON BOONE DR, DESOTO, TX 75115-2011
- **Practice address phone:** (972) 296-6655
- **Practice address fax:** (972) 296-6701
- **Mailing address:** 2601 BOLTON BOONE DR, DESOTO, TX 75115-2011
- **Mailing address phone:** (972) 296-6655
- **Mailing address fax:** (972) 296-6701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 16094 | TX | Yes |

## Other

- **Enumeration date:** 08/14/2017
- **Last updated:** 07/21/2022
