Individual
DR. KENNETH B SCROGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
11780 MANCHESTER RD, SUITE 105, SAINT LOUIS, MO 63131-4600
(314) 965-3500
(314) 965-7721
Mailing address
11780 MANCHESTER RD, SUITE 105, SAINT LOUIS, MO 63131-4600
(314) 965-3500
(314) 965-7721
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2011021923
MO
Other
Enumeration date
08/29/2011
Last updated
12/23/2014
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