Organization
SCOTT A. NIETTE, D.M.D., GENERAL DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT ALBERT NIETTE D.M.D. (OWNER DOCTOR)
(478) 862-5954
Entity
Organization
Contact information
Practice address
43 SOUTH BROAD STREET, BUTLER, GA 31006
(478) 862-5954
(478) 862-5957
Mailing address
PO BOX 670, BUTLER, GA 31006-0670
(478) 862-5954
(478) 862-5957
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0011708
GA
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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