Individual
SCOTT EDWARD NUESSLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
E. ON HWY 160 TO RTE 59 BEHIND CHAPTER, KAYENTA, AZ 86033
(928) 697-8154
(928) 697-8559
Mailing address
PO BOX 1625, PAGE, AZ 86040-1625
(928) 645-9675
(928) 645-2626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5728
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
852104
—
AZ
Enumeration date
04/25/2007
Last updated
01/10/2013
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