Individual
SCOTT A NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1980 E BASELINE RD STE 101, TEMPE, AZ 85283-1534
(602) 339-1985
Mailing address
781 S COTTON LN STE 100, GOODYEAR, AZ 85338-4643
(623) 882-3636
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7835
AZ
Other
Enumeration date
07/22/2009
Last updated
10/18/2023
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