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Organization

DR. JENNIFER L SCOTT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER LEE SCOTT DDS (OWNER)
(972) 296-6655
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
16094
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1386751436
NPI
TX
Enumeration date
08/14/2017
Last updated
07/21/2022
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