IndividualActive
Alan Nidetz, DDS
NPI 1427348903 · General Practice Dentistry · Skokie, IL
Provider details
- NPI number
- 1427348903
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019.017653 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
4905 Old Orchard Ctr
Suite 420
Skokie, IL 60077-1458
Phone: (847) 673-9292
Fax: (847) 674-4696
Approximate (ZIP-level) locationGet directions
Mailing address
4905 Old Orchard Ctr
Skokie, IL 60077-1458
Registry dates
- Enumerated
- 2011-04-18
- Last updated
- 2011-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.