DR. SCOTT JONATHAN NICOLETTE


Address: 5109 W Broad St, 202, Columbus, OH 43228-1648
Phone: 6148782273

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
22064 OH Dental Providers

Office Location

Street Address 5109 W BROAD ST
202
City COLUMBUS
State OH
Zip Code 43228-1648

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City COLUMBUS
Zip Code 43228

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Dataset Information

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.

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