Provider Demographics
NPI:1245799758
Name:SCOTT DENTAL PLLC
Entity Type:Organization
Organization Name:SCOTT DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:281-477-6000
Mailing Address - Street 1:13827 CYPRESS NORTH HOUSTON RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-3250
Mailing Address - Country:US
Mailing Address - Phone:281-477-6000
Mailing Address - Fax:281-477-6003
Practice Address - Street 1:13827 CYPRESS NORTH HOUSTON RD
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-3250
Practice Address - Country:US
Practice Address - Phone:281-477-6000
Practice Address - Fax:281-477-6003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty