DR. SCOTT JONATHAN NICOLETTE (NPI# 1629056775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629056775 |
Entity Type | Individual |
Full Name | DR. SCOTT JONATHAN NICOLETTE |
Credential | DDS |
Practice Address |
5109 W Broad St 202 Columbus OH 43228-1648 |
Practice Telephone | 6148782273 |
Practice Fax Number | 6148780958 |
Mailing Telephone | 6148782273 |
Mailing Fax Number | 6148780958 |
Enumeration Date | 2006-01-07 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
22064 | OH | Dental Providers |
Street Address |
5109 W BROAD ST 202 |
City | COLUMBUS |
State | OH |
Zip Code | 43228-1648 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689215840 | Monica Marcotte | Counselor | 5109 W Broad St, Columbus, OH 43228-1648 | 2019-09-30 |
1588150023 | Mariah Shay Mercer-ranson | Case Manager/Care Coordinator | 5109 W Broad St, Columbus, OH 43228-1648 | 2018-07-09 |
1417494899 | Emma Grace Rodriguez | Social Worker | 5109 W Broad St, Suite 104, Columbus, OH 43228 | 2017-01-24 |
1679017172 | Jill E Witteman | Social Worker | 5109 W Broad St, Columbus, OH 43228-1648 | 2016-12-19 |
1023564168 | Anastasia Collier | Social Worker | 5109 W Broad St, 104, Columbus, OH 43228-1648 | 2016-08-29 |
1720448905 | Shaunae Tolson | Case Manager/Care Coordinator | 5109 W Broad St, Suite 104, Columbus, OH 43228-1648 | 2016-03-01 |
1174983365 | Danielle Nicole Smart | Social Worker | 5109 W Broad St, Suite 104, Columbus, OH 43228-1648 | 2016-03-01 |
1801256516 | Brandi Harrison | Social Worker | 5109 W Broad St, Columbus, OH 43228-1648 | 2016-02-24 |
1275992166 | Dana Mullis | Social Worker | 5109 W Broad St, Suite 104, Columbus, OH 43228-1648 | 2016-02-19 |
1952707895 | Jordan Nicholas Bulcher | Physician Assistant | 5109 W Broad St, Columbus, OH 43228-1648 | 2014-11-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
Find all providers in zip 43228 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881208874 | West Broad Dental Partners LLP | Dentist | 4089 W Broad St, Columbus, OH 43228-1614 | 2020-09-07 |
1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
1760004592 | Stephanie Leigh Sforza | Dentist | 1511 Runaway Bay Dr Apt 1a, Columbus, OH 43204-4812 | 2020-05-14 |
1487293403 | Columbus Dental Corp | Dentist | 1641 N National Rd, Columbus, IN 47201-5579 | 2019-12-23 |
1699319509 | Justin D. Shiflett, Dds, Inc. | Dentist | 3805 N High St Ste 207, Columbus, OH 43214-3539 | 2019-11-04 |
1730721499 | Tanner Jameson Mitchell | Dentist | 3105 Middle Dr Ste A, Columbus, IN 47203-4472 | 2019-10-15 |
1588143838 | Mark Christopher Pagano | Dentist | 5478 N Hamilton Rd, Columbus, OH 43230-1320 | 2018-08-08 |
1336630128 | Annie Courtemanche | Dentist | 6499 E Broad St Ste 110, Columbus, OH 43213-6506 | 2018-05-29 |
1619468766 | Blue Ridge Community Health Services Inc | Dentist | 158 White Dr, Columbus, NC 28722-9465 | 2018-05-24 |
Find all providers in COLUMBUS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.