Nowicki, Keith David

Nowicki, Keith David is an individual health care provider with primary practice located at 32545 Garfield Rd , Fraser MI 48026-3843. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Nowicki, Keith David can be contacted via phone (586) 293-3633.

Contact Information

Primary practice address
32545 Garfield Rd Fraser MI 48026-3843
Phone: (586) 293-3633
Fax: (586) 293-5683
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 17331 Michigan
Dental Providers / Dentist 122300000X 2901017331 Michigan

Profile Details

NPI number 1417917584
LBN Legal business name Nowicki, Keith David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 8th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417917584 NPPES
Michigan Other 973959 UNITED CONCORDIA MILITARY

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