Individual provider Active NPI

Stephen Thomas Scoglio, DMD

  • General Practice Dentistry
  • Wilton Manors, FL
National Provider Identifier
1891387296
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN25155 Issued in FL
Practice address
1946 Wilton Dr
Wilton Manors, FL 33305-3909
Phone
(954) 565-7666
NPI assigned
Feb 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN25155 FL Primary

Addresses

Primary practice location

1946 Wilton Dr
Wilton Manors, FL 33305-3909

Mailing address

621 SW 101St Ave
Plantation, FL 33324-2250
Phone (585) 727-8974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN25155FLMDGeneral Practice Dentistry

Practice roles (1 of 2)

OrganizationSpecialtyStatusNew patients
David K Warner DDS PA General Practice CurrentSince Dec 24, 2023 Accepting new patients

Locations

1946 Wilton Dr
Wilton Manors, FL 33305
Phone (954) 565-7666

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1891387296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SW 101ST AVE",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242250",
            "telephone_number": "585-727-8974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 WILTON DR",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333053909",
            "telephone_number": "954-565-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOGLIO",
        "first_name": "STEPHEN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-07",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.