Provider Demographics
NPI:1679535454
Name:SCOTT, RENE ELIZABETH (DDS , PHD)
Entity Type:Individual
Prefix:DR
First Name:RENE
Middle Name:ELIZABETH
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DDS , PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1246 S HIGHWAY 377
Mailing Address - Street 2:#500
Mailing Address - City:PILOT POINT
Mailing Address - State:TX
Mailing Address - Zip Code:76258-4331
Mailing Address - Country:US
Mailing Address - Phone:940-686-2201
Mailing Address - Fax:940-686-0944
Practice Address - Street 1:1246 S HIGHWAY 377
Practice Address - Street 2:#500
Practice Address - City:PILOT POINT
Practice Address - State:TX
Practice Address - Zip Code:76258-4331
Practice Address - Country:US
Practice Address - Phone:940-686-2201
Practice Address - Fax:940-686-0944
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13134122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist