NPI 1003385899

Scruggs Dental LLC

Organisation General Practice Dentistry Shreveport, LA

Practice location

Address: 2001 E. 70th Street Suite 105, Shreveport, LA 71005
Phone: (318) 798-2008
Mailing address: 2403 Lacy Ln, Carrollton, TX 75006-6514

Authorised official

Name: Faith Gaskins
Title: Director of Credentialing
Phone: (972) 869-3789

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1003385899
Entity type: Organization
NPI issued: 21 Nov 2018
Record last updated: 21 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.