Scroggins, Samuel

Scroggins, Samuel is an individual health care provider with primary practice located at 54 S Medical Park Dr , Fishersville VA 22939-2333. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Scroggins, Samuel can be contacted via phone (540) 886-2956.

Contact Information

Primary practice address
54 S Medical Park Dr Fishersville VA 22939-2333
Phone: (540) 886-2956
Fax: (540) 886-2284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5435 Alabama
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 0401413811 Virginia

Profile Details

NPI number 1487742375
LBN Legal business name Scroggins, Samuel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated May 31st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487742375 NPPES
Alabama Other 51529738 BLUE CROSS#-EASTERN DENTA
Alabama MEDICAID 009932141 BLUE CROSS#-EASTERN DENTA
Alabama Other 510-06443 BLUE CROSS#-EASTERN DENTA
Alabama MEDICAID 009911387 BLUE CROSS#-EASTERN DENTA

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