Provider Demographics
NPI:1104181163
Name:SCHOTT, LAURA JOHNSON (DDS)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:JOHNSON
Last Name:SCHOTT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19518 BELLA ARBOR LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4011
Mailing Address - Country:US
Mailing Address - Phone:832-922-8589
Mailing Address - Fax:
Practice Address - Street 1:12904 FRY RD
Practice Address - Street 2:SUITE 500
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433
Practice Address - Country:US
Practice Address - Phone:832-922-8589
Practice Address - Fax:832-922-8589
Is Sole Proprietor?:No
Enumeration Date:2012-07-05
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX281081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice