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NATHAN D NITZ DMD PLLC NPI 1225489610


NPI Information

NPI: 1225489610
Provider Name: NATHAN D NITZ, DMD PLLC

Doing Business As: CAPITOL SMILES - NATHAN D NITZ, DMD

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
105 DIAGNOSTIC DR
SUITE A
FRANKFORT, KY
ZIP 40601
Phone: (502) 223-3468
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NATHAN D NITZ, DMD PLLC is a dental clinic center in Frankfort, KY. NATHAN D NITZ, DMD PLLC NPI is 1225489610. The provider is registered as an organization entity type.
The provider Is Doing Business As Capitol Smiles - Nathan D Nitz, Dmd.

The provider's business location address is:

105 DIAGNOSTIC DR
SUITE A
FRANKFORT, KY
ZIP 40601-559
Phone: (502) 223-3468

The provider's authorized official is Nathan D Nitz .
The authorized official title is Owner and has the following contact phone number (502) 223-3468.

The enumeration date for this NPI number is 6/27/2016 and was last updated on 6/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental9470KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100400700MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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