Individual
DR. SHAKASHA L. SCRUGGS-WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
USA DENTAC FORT CAVAZOS, 36000 SHOEMAKER LN SUITE 1051 RM 1048, FORT CAVAZOS, TX 76544-5054
(254) 287-2705
Mailing address
USA DENTAC FORT CAVAZOS, 36000 SHOEMAKER LN SUITE 1051 RM 1048, FORT CAVAZOS, TX 76544-5054
(254) 287-2705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
28258
TX
1223G0001X
General Practice Dentistry
10057
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
10096
SC
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
28258
TX
Other
Enumeration date
08/28/2012
Last updated
07/26/2024
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