Provider Demographics
NPI:1952304313
Name:SCOTT, TERESA MARIA (DDS)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:MARIA
Last Name:SCOTT
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 1:6334 FM 2920 RD STE 250
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-3473
Mailing Address - Country:US
Mailing Address - Phone:281-655-9175
Mailing Address - Fax:281-655-8333
Practice Address - Street 1:6334 FM 2920 RD STE 250
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-3473
Practice Address - Country:US
Practice Address - Phone:281-655-9175
Practice Address - Fax:281-655-8333
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-31
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX181571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX18157OtherTEXAS DENTAL LICENSE NO