Jerry Gene Nieten in Noblesville - Dentist

Jerry Gene Nieten - NPI 1770785461

Jerry Gene Nieten is a Dentist in Noblesville, Indiana. Jerry Gene Nieten practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jerry Gene Nieten is 1770785461. The last update date is 2007-07-08.

Jerry Gene Nieten's current location address is 12558 E 191st St, Noblesville, Indiana. You can contact this provider via phone number 3177735202. The mailing address for Jerry Gene Nieten is 12558 E 191st St, Noblesville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerry Gene Nieten
Address 12558 E 191st St, Noblesville, Indiana
Phone Number 3177735202
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1770785461
Provider Enumeration Date 2007-06-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12558 E 191st St
City Noblesville
State Indiana (IN)
Post Code 460606704
Phone Number 3177735202
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 7047
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Jerry Gene Nieten

What is the Jerry Gene Nieten's unique identification number?

The Jerry Gene Nieten has been assigned the NPI (National Provider Identifier) Number 1770785461 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Jerry Gene Nieten is geographically located?

The Jerry Gene Nieten is physically situated at the following location: 12558 E 191St St, Noblesville, IN, 460606704.

What is Jerry Gene Nieten's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Jerry Gene Nieten is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Jerry Gene Nieten receive the assignment of its 1770785461 from the Centers for Medicare & Medicaid Services?

The Jerry Gene Nieten was issued its 1770785461 by the Centers for Medicare & Medicaid Services on 2007-06-04.

As of what date was the information regarding Jerry Gene Nieten, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jerry Gene Nieten, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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