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
Mailing address4905 Old Orchard Ctr, Suite 420, Skokie, IL 60077-1458

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