SCOTT P. FOGEL DDS PC NPI 1750494142

NPI Information

  • NPI: 1750494142
  • Provider Name: SCOTT P. FOGEL DDS PC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • PECOS Registration: Yes
  • Address: 1521 N CONVENT ST
    SUITE 600
    BOURBONNAIS, IL
    ZIP 60914
  • Phone: (815) 933-5173

Map and Directions

Get Directions

NPI Details

SCOTT P. FOGEL DDS PC is a general practice dentist in Bourbonnais, IL. The provider is 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. SCOTT P. FOGEL DDS PC NPI is 1750494142. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1521 N CONVENT ST
SUITE 600
BOURBONNAIS, IL
ZIP 60914-468
Phone: (815) 933-5173
Fax: (815) 933-5191

The provider's authorized official is Scott P. Fogel .
The authorized official title is Owner and has the following contact phone number (815) 933-5173.

The NPI 1750494142 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 8/17/2006 and was last updated on 11/26/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice019026391ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI