Individual
MR. SCOTT F NOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
165 N. MERAMEC AVE, SUITE 300, CLAYTON, MO 63105-3772
(314) 726-2755
(314) 726-9538
Mailing address
165 N. MERAMEC AVE, SUITE 300, CLAYTON, MO 63105-3772
(314) 726-2755
(314) 726-9538
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
015060
MO
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
019022030
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134798
HEALTHLINK
—
01
—
15008
BLUE CHOICE
—
01
—
2240308001
CIGNA
—
01
—
4235780
AETNA
—
Enumeration date
11/14/2006
Last updated
04/11/2023
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