Individual provider · NPI-1

Dr. Scott Bruggeman, DDS

Dentist, General Practice · Thornton, CO

NPI number1851451355
StatusActive
Last updated in NPPESOct 6, 2022

Details

NPI
1851451355
Entity type
Individual (NPI-1)
Name
Dr. Scott Bruggeman
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Dec 12, 2006
Certification date
Oct 6, 2022
Last updated
Oct 6, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice9574COYes

Practice location

14360 Lincoln St
Thornton, CO 80023-9243

Phone 720-428-8607

Mailing address

14360 Lincoln St
Thornton, CO 80023-9243

Phone 720-428-8607

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