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

Dr. Scott Paul Fogel, DDS

Individual provider Dentist · NPI 1679818835

Dr. Scott Paul Fogel, DDS is a Dentist in Bourbonnais, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2012
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1521 N Convent St Ste 600
Bourbonnais, IL 60914-1486
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

Dentist (primary) Taxonomy 122300000X · Licence 019026391 (IL)

Record details

NPI number1679818835
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 29, 2012
Last updated in NPPESNovember 29, 2012

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