Scroggins, Jaclyn Michelle

Scroggins, Jaclyn Michelle is an sole proprietor health care provider with primary practice located at 209 S Kirkwood Rd , Kirkwood MO 63122-4305. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is her primary health care specialty. Scroggins, Jaclyn Michelle can be contacted via phone (314) 821-1101.

Contact Information

Primary practice address
209 S Kirkwood Rd Kirkwood MO 63122-4305
Phone: (314) 821-1101
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019.028002 Illinois
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 2012041113 Missouri

Profile Details

NPI number 1083842660
LBN Legal business name Scroggins, Jaclyn Michelle
Credentials D.M.D., M.S.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2009
Last updated Mar 15th, 2017 - about 9 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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