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

Scott P. Fogel DDS PC

Organization General Practice Dentistry · NPI 1750494142

Scott P. Fogel DDS PC is a General Practice Dentistry in Bourbonnais, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1521 N Convent St Ste 600
Bourbonnais, IL 60914-1468
Phone: (815) 933-5173
Fax: (815) 933-5191
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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 019026391 (IL)

Record details

NPI number1750494142
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationScott P. Fogel DDS PC
Authorized official Scott Fogel — Owner · (815) 933-5173
NPI enumeratedAugust 17, 2006
Last updated in NPPESNovember 26, 2012
Mailing address1521 N Convent St, Suite 600, Bourbonnais, IL 60914-1468

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