DR. Carl Richard Scruggs JR., DDS

NPI #1386724136 in Massena, New York

Provider Information

NPI Number: 1386724136
Entity Type: Individual
Name: DR. Carl Richard Scruggs JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Oct 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 37 N MAIN ST
City: Massena
State: New York
ZIP Code: 13662-1162
Phone: (315) 769-5811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

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