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

Dr. Nicholas Kaddis, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578219291

Dr. Nicholas Kaddis, DDS is a Student in an Organized Health Care Education/Training Program in Flint, Michigan. Licensed in Michigan. Registered with an NPI since 2022.

Licensed in
MI
In the registry since
2022
Specialties on file
3
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

2501 W Pierson Rd
Flint, MI 48504-6802
Phone: (810) 789-5880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2901601388 (MI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Dentist Taxonomy 122300000X · Licence 22164130600 (MI)

Record details

NPI number1578219291
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 22, 2022
Last updated in NPPESJune 15, 2022
Certification dateJune 15, 2022
Mailing address1936 Maplewood Ave, Bloomfield Hills, MI 48302-0209

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