Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SCOTT PAUL FOGEL, DDS
Active Sole ProprietorDR. SCOTT PAUL FOGEL, DDS is a Dentist healthcare provider located in BOURBONNAIS, Illinois. NPI 1679818835 is currently active in the NPPES registry. Verify at CMS.
Dentist · BOURBONNAIS, IL
Registration Details
- NPI Number
- 1679818835
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2012 (13.701515173929 yrs)
- Last Updated
- Nov 29, 2012
- License
-
019026391 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1521 N CONVENT ST STE 600BOURBONNAIS, IL, 609141486Browse IL providers · Browse ZIP 60914
- Phone
- 8159335173
- Fax
- 8159335191
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in BOURBONNAIS, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JERRY JOSEPH LEBEDA JR. | DDS | 1609922863 |
| DR. SUSAN PATEL | DDS | 1780717363 |
| DR. BERNARD EUGENE RYAN II | D.D.S. | 1194935759 |
| DR. KELLY L OCONNOR | DDS | 1588833917 |
| MRS. BRANDI KAYE KANER | — | 1275706301 |
| DR. AJAY DAS | DDS | 1891002994 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.