Individual
DR. SCOTT BRUGGEWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
120 S 6TH ST, VINELAND, NJ 08360-4605
(856) 692-5533
(856) 692-4990
Mailing address
120 S 6TH ST, P.O BOX 1298, VINELAND, NJ 08360-4605
(856) 692-5533
(856) 692-4990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DI019933
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
223674675
TAX IDENTIFICATION NUMBER
NJ
Enumeration date
12/15/2005
Last updated
12/27/2011
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