DR. Scott Paul Fogel, DDS
NPI #1679818835 in Bourbonnais, Illinois
Provider Information
- NPI Number
- 1679818835
- Entity Type
- Individual
- Name
- DR. Scott Paul Fogel, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Nov 29, 2012
- Last Updated
- Nov 29, 2012
Practice Location
- Address
- 1521 N CONVENT ST STE 600
- City
- Bourbonnais
- State
- Illinois
- ZIP Code
- 60914-1486
- Phone
- (815) 933-5173
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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