# MR. SCOTT F NOLEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659443919
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 015060 | MO | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 019022030 | IL | — |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 04/11/2023