Individual
NICHOLAS SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
3718 GRUBER RD BLDG H, FORT LIBERTY, NC 28310-8934
(910) 396-6925
Mailing address
3718 GRUBER RD BLDG H, FORT LIBERTY, NC 28310-8934
(910) 396-6925
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
98725
ZZ
Other
Enumeration date
02/01/2024
Last updated
02/01/2024
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