Dr. Jennifer L Scott

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

16094 Issued in TX

Legal business name

DR. JENNIFER L SCOTT

Practice address

2601 Bolton Boone Dr
Desoto, TX 75115-2011

Phone

(972) 296-6655

Fax

(972) 296-6701

NPI assigned

Aug 14, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jennifer Lee Scott, DDSNPI 1386751436

Title

Owner

Phone

(972) 296-6655

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lee Scott, D.D.S.

  • Dentist
  • Desoto, TX
  • NPI 1386751436
  NPD (past) Authorized official
• Monica L Goff, D.D.S.

  • Dentist
  • Desoto, TX
  • NPI 1184063737
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174049910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 BOLTON BOONE DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152011",
            "telephone_number": "972-296-6655",
            "fax_number": "972-296-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 BOLTON BOONE DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152011",
            "telephone_number": "972-296-6655",
            "fax_number": "972-296-6701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JENNIFER L SCOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-296-6655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TX",
            "license": "16094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1386751436",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Dorsey
• Herlonda Dotson, LPC, CCM
• Dr Candace Martin
• Dr Charles a Foster
• Dr. Beatrice B. Kilguss DC
• Dr. Ly Phan & Associates, P.C.
• Barbie Drayden
• Dreaming Cgi PLLC
• DSW Pediatrics & Children and Youth Clinic
• Jacques Dureus

• Dental Clinic/Center in Desoto, TX
• Providers in Desoto, TX by specialty
• Dental Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.