Individual
DR. SCOTT JONATHAN NICOLETTE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5109 W BROAD ST, 202, COLUMBUS, OH 43228-1648
(614) 878-2273
(614) 878-0958
Mailing address
5109 W BROAD ST, 202, COLUMBUS, OH 43228-1648
(614) 878-2273
(614) 878-0958
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22064
OH
Other
Enumeration date
01/07/2006
Last updated
07/08/2007
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