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KENNETH B. SCROGGINS, D.M.D., LLC
NPI 1639567811
Dentist - General Practice in Saint Louis, MO

Active since December 23, 2014
11780 MANCHESTER RD, SUITE 105, SAINT LOUIS, MO 63131(314) 965-3500(314) 965-7721 Get Directions Write a Review

NPPES record last updated: December 23, 2014. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Kenneth B. Scroggins, D.m.d., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH B. SCROGGINS, D.M.D., LLC (NPI 1639567811) is a healthcare organization registered as a general practice in Saint Louis, Missouri and active in the NPI registry since December 2014. The organization lists Kenneth B. Scroggins, President, as its authorized official.

NPPES Registry Identity

NPI1639567811
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKENNETH B. SCROGGINS, D.M.D., LLC
Location Address11780 MANCHESTER RD, SUITE 105Saint Louis, MO 63131-4600
Mailing Address11780 Manchester Rd, Suite 105Saint Louis, MO 63131-4600 · (314) 965-3500 · Fax (314) 965-7721
Phone(314) 965-3500
Fax(314) 965-7721
Organization SubpartNo
Authorized OfficialKenneth B. ScrogginsPresident · (314) 965-3500
Enumeration DateDecember 23, 2014
✔ NPI 1639567811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MO · 2011021923
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
11780 MANCHESTER RD, Saint Louis, MO 63131
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARE AT HOME, LLC
Home Health
11780 MANCHESTER RD, SUITE 102
DES PERES, MO 63131
St. Louis County (314) 965-9600
DR. KENNETH B SCROGGINS D.M.D.
Dentist (General Practice)
11780 MANCHESTER RD, SUITE 105
SAINT LOUIS, MO 63131
St. Louis County (314) 965-3500
DR. ROBERT C. STEPPLER D.D.S.
Dentist (General Practice)
11780 MANCHESTER RD, SUITE 105
SAINT LOUIS, MO 63131
St. Louis County (314) 965-3500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth B. Scroggins, D.M.D., LLC's NPI number?

The NPI number for Kenneth B. Scroggins, D.M.D., LLC is 1639567811. It was assigned to this organization in the NPPES registry on December 23, 2014.

Where is Kenneth B. Scroggins, D.M.D., LLC located?

Kenneth B. Scroggins, D.M.D., LLC is located at 11780 Manchester Rd Suite 105, Saint Louis, MO 63131. The listed phone number is (314) 965-3500.

What is Kenneth B. Scroggins, D.M.D., LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kenneth B. Scroggins, D.M.D., LLC was last updated on December 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.