Scott W Nieman Dds Inc | |
395 N West St Westerville OH 43082-1400 | |
(614) 898-9994 | |
(614) 898-1098 |
Full Name | Scott W Nieman Dds Inc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 395 N West St, Westerville, Ohio |
Authorized Official Name and Position | Scott W Nieman (PRACTICE OWNER) |
Authorized Official Contact | 6148989994 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Scott W Nieman Dds Inc 395 N West St Westerville OH 43082-1400 Ph: (614) 898-9994 | Scott W Nieman Dds Inc 395 N West St Westerville OH 43082-1400 Ph: (614) 898-9994 |
NPI Number | 1891885596 |
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Provider Enumeration Date | 10/13/2006 |
Last Update Date | 04/11/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891885596 | NPI | - | NPPES |
2258195 | Medicaid | OH | |
4032461 | Other | BCBS | |
927503 | Other | OH | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 30019924 (Ohio) | Primary |
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