Organization
SCOTT W NIEMAN DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT W NIEMAN DDS (PRACTICE OWNER)
(614) 898-9994
Entity
Organization
Contact information
Practice address
395 N WEST ST, WESTERVILLE, OH 43082-1400
(614) 898-9994
(614) 898-1098
Mailing address
395 N WEST ST, WESTERVILLE, OH 43082-1400
(614) 898-9994
(614) 898-1098
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30019924
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2258195
—
OH
01
—
4032461
BCBS
—
01
—
927503
UNITED CONCORDIA
OH
Enumeration date
10/13/2006
Last updated
04/11/2011
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