Provider Demographics
NPI:1710329420
Name:RENE E SCOTT DDS PC
Entity Type:Organization
Organization Name:RENE E SCOTT DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:940-206-7481
Mailing Address - Street 1:PO BOX 413
Mailing Address - Street 2:
Mailing Address - City:PILOT POINT
Mailing Address - State:TX
Mailing Address - Zip Code:76258-0413
Mailing Address - Country:US
Mailing Address - Phone:940-765-9390
Mailing Address - Fax:940-220-4763
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:76258-4353
Practice Address - Country:US
Practice Address - Phone:940-765-9390
Practice Address - Fax:940-220-4763
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13134261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental