Individual
DR. SCOTT B NILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS PC
Contact information
Practice address
1508 E SKYLINE DR STE 500, SOUTH OGDEN, UT 84405-4857
(801) 393-4512
Mailing address
1508 E SKYLINE DR STE 500, SOUTH OGDEN, UT 84405-4857
(801) 393-4512
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
98360620
UT
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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