Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth B. Scroggins, DMD, LLC

Organization General Practice Dentistry · NPI 1639567811

Kenneth B. Scroggins, DMD, LLC is a General Practice Dentistry in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11780 Manchester Rd Ste 105
Saint Louis, MO 63131-4600
Phone: (314) 965-3500
Fax: (314) 965-7721
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2011021923 (MO)

Record details

NPI number1639567811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Scroggins — President · (314) 965-3500
NPI enumeratedDecember 23, 2014
Last updated in NPPESDecember 23, 2014
Mailing address11780 Manchester Rd, Suite 105, Saint Louis, MO 63131-4600

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