Provider Demographics
NPI:1306978226
Name:BENOIT, ANDREW SCOTT (DDS)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:SCOTT
Last Name:BENOIT
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1213 HERMANN DR STE 275
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7074
Mailing Address - Country:US
Mailing Address - Phone:713-529-3069
Mailing Address - Fax:713-529-3071
Practice Address - Street 1:1213 HERMANN DR STE 275
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-7074
Practice Address - Country:US
Practice Address - Phone:713-529-3069
Practice Address - Fax:713-529-3071
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice