Dr. Alan J. Nidetz DDS

NPI 1427348903

Information of Dr. Alan J. Nidetz DDS

The NPI 1427348903 is an Individual type. NPI No 1427348903 belongs to Alan J. Nidetz. Dr. Alan J. Nidetz DDS specializes in General Practice. He is practising at 4905 Old Orchard Ctr, Skokie, Illinois 60077. You can also contact him via phone number (847) 673-9292.

Practice address located

  • 4905 Old Orchard Ctr
  • Skokie, Illinois 60077
  • (847) 673-9292
  • (847) 673-9292

Mailling address located

  • 4905 Old Orchard Ctr
  • Skokie, Illinois 60077
  • (847) 673-9292
  • (847) 674-4696
NPI No 1427348903
Primary Taxonomy
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes1223G0001XGeneral Practice019.017653Illinois
No1223G0001XGeneral Practice019.020212Illinois
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