Individual
SCOTT NIEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
595 COPELAND MILL RD, SUITE ZE, WESTERVILLE, OH 43081-8900
(614) 898-9994
(614) 898-1098
Mailing address
595 COPELAND MILL RD, SUITE ZE, WESTERVILLE, OH 43081-8900
(614) 898-9994
(614) 898-1098
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30019924
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0933799
—
OH
01
—
311767324026
UNITED CONCORDIA
OH
01
—
4032461
BCBS
OH
Enumeration date
08/26/2006
Last updated
07/08/2007
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