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NPI Code Detail

MEDICARE: DR. NICHOLAS DEMUS SCHOOLEY D.D.S.

MEDICARE:  DR. NICHOLAS DEMUS SCHOOLEY  D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry18287OH

General Provider Information

NPI Number : 1164623898
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NICHOLAS DEMUS SCHOOLEY D.D.S.
Provider Business Mailing Address
First Line : 1275 OLENTANGY RIVER RD
Second Line : SUITE 200
City : COLUMBUS
State : OH
Zip : 43212-3119
Country : US
Telephone Number : 614-294-4007
Fax Number : 614-294-7008
Provider Business Practice Location Address
First Line : 1275 OLENTANGY RIVER RD
Second Line : SUITE 200
City : COLUMBUS
State : OH
Zip : 43212-3119
Country : US
Telephone Number : 614-294-4007
Fax Number : 614-294-7008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2007
Last Update Date : 07/08/2007

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Directions to “ DR. NICHOLAS DEMUS SCHOOLEY D.D.S.” Practice Location

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