Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Alan J. Nidetz, DDS

Individual provider General Practice Dentistry · NPI 1427348903

Dr. Alan J. Nidetz, DDS is a General Practice Dentistry in Skokie, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4905 Old Orchard Ctr Ste 420
Skokie, IL 60077-1458
Phone: (847) 673-9292
Fax: (847) 674-4696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.017653 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019.020212 (IL)

Record details

NPI number1427348903
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 18, 2011
Last updated in NPPESApril 18, 2011

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