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

Dr. Keith David Nowicki, DDS

Individual provider General Practice Dentistry · NPI 1417917584

Dr. Keith David Nowicki, DDS is a General Practice Dentistry in Fraser, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
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

32545 Garfield Rd
Fraser, MI 48026-3843
Phone: (586) 293-3633
Fax: (586) 293-5683
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901017331 (MI)
General Practice Dentistry Taxonomy 1223G0001X · Licence 17331 (MI)

Record details

NPI number1417917584
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022
Mailing address32545 Garfield Rd, Fraser, MI 48026-3843

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