Individual
DR. SCOTT ROGER SCHUBKEGEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
449 MEADOWLARK ST, SHAW A F B, SC 29152-5020
(803) 965-6171
Mailing address
1365 MALONE DR, SUMTER, SC 29154-7295
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
IL
Other
Enumeration date
11/16/2005
Last updated
07/08/2007
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