Bruggeworth, Scott

Bruggeworth, Scott is an individual health care provider with primary practice located at 120 S 6Th St , Vineland NJ 08360-4605. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bruggeworth, Scott can be contacted via phone (856) 692-5533.

Contact Information

Primary practice address
120 S 6Th St Vineland NJ 08360-4605
Phone: (856) 692-5533
Fax: (856) 692-4990
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DI019933 New Jersey

Profile Details

NPI number 1609852334
LBN Legal business name Bruggeworth, Scott
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Dec 27th, 2011 - about 14 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 1609852334 NPPES
New Jersey Other 223674675 TAX IDENTIFICATION NUMBER

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