Individual
MR. SCOTT KENNETH KUGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
729 MERIDIAN AVE, COZAD, NE 69130-1752
(308) 784-4600
(308) 784-4601
Mailing address
729 MERIDIAN AVE, COZAD, NE 69130-1752
(308) 784-4600
(308) 784-4601
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5143
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47082242300
—
NE
01
—
5176
BC/BS
NE
Enumeration date
06/22/2006
Last updated
07/08/2007
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