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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. ALAN J. NIDETZ, DDS

Active Sole Proprietor

DR. ALAN J. NIDETZ, DDS is a General Dentistry healthcare provider located in SKOKIE, Illinois. NPI 1427348903 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SKOKIE, IL

Registration Details

NPI Number
1427348903
Provider Type
Individual
Gender
Male
NPI Issued
Apr 18, 2011 (15.330544920201 yrs)
Last Updated
Apr 18, 2011
Licenses
019.017653 (IL)
019.020212 (IL)
Sole Proprietor
Yes

Practice Information

Address
4905 OLD ORCHARD CTR
SUITE 420
SKOKIE, IL, 600771458
Browse IL providers · Browse ZIP 60077
Phone
8476739292
Fax
8476744696
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in SKOKIE, IL

Name Credential NPI
DR. ROGER LANCE ROBBINS D.D.S. 1417952532
DR. RICHARD RANDY MIKOS D.D.S. 1649269812
DR. CALVIN MANDEL FINKEL D.D.S. 1063402824
RICHARD S CONEN DDS 1801886544
DR. VICTOR KA TAI LAU DDS 1952381410
DR. SCOTT MILLER DDS 1598724189
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.