Keith David Nowicki, DDS

Dentist · Fraser, MI

Individual Active NPI

NPI number 1417917584

Practice location

32545 Garfield Rd
Fraser, MI 48026-3843
Phone
(586) 293-3633
Fax
(586) 293-5683

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NPI record

NPI
1417917584
Entity type
Individual (Type 1)
Enumeration date
March 24, 2006
Last updated
June 8, 2022
Certified
June 8, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 2901017331 MI
General Practice Dentistry 1223G0001X 17331 MI

About Dr. Nowicki

Keith David Nowicki, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 32545 Garfield Rd, Fraser, MI 48026-3843. The NPI number 1417917584 was assigned on March 24, 2006 and the record was last updated on June 8, 2022.

Dr. Nowicki lists 2 licenses in the registry: #2901017331 (MI) for Dentist; #17331 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Keith David Nowicki, DDS?

The NPI number is 1417917584.

What is the phone number of Dr. Nowicki?

The phone number listed for the practice location is (586) 293-3633.

Where is Dr. Nowicki located?

32545 Garfield Rd, Fraser, MI 48026-3843.

What is the taxonomy code for Dr. Nowicki?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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