Individual provider · Type 1 NPI

Candace Rebecca Scruggs, DDS

Oral and Maxillofacial Surgery (Dentist) · Camillus, NY

NPI number 1679771547 Active

Practice location

5109 W Genesee St Ste 101
Camillus, NY 13031-2372

Fax (315) 487-8661

Mailing address

4000 Medical Center Drive, Suite B13
Fayetteville, NY 13066

Other practice locations

  • 4000 Medical Center Drive, Suite B13, Fayetteville, NY 13066 · (315) 637-4476

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X055584 (NY)
Dentist 122300000X4347 (SC)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1679771547

Candace Rebecca Scruggs, DDS's National Provider Identifier is 1679771547, issued on Jul 3, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Camillus, NY. The record was last updated on Mar 20, 2024.