| 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 |
|---|---|
| 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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