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Organization
SCOTT A. NIETTE, D.M.D., GENERAL DENTISTRY
Active
Organization
SCOTT A. NIETTE, D.M.D., GENERAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ALBERT NIETTE D.M.D. (OWNER DOCTOR)
(478) 862-5954
Entity
Organization
Contact information
Practice address
43 SOUTH BROAD STREET, BUTLER, GA 31006
(478) 862-5954
(478) 862-5957
Mailing address
PO BOX 670, BUTLER, GA 31006-0670
(478) 862-5954
(478) 862-5957
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0011708
GA
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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