Individual
SCOTT NULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1339 W MAIN ST, NEWARK, OH 43055-1821
(740) 344-4000
Mailing address
1339 W MAIN ST, NEWARK, OH 43055-1821
(740) 344-4000
(740) 344-3139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15386
OH
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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