Kevin Jacob Nitz, DDS

General Practice Dentistry · Oconomowoc, WI

Individual Active NPI

NPI number 1790534808

Practice location

850 Summit Ave Stop 1
Oconomowoc, WI 53066-3920
Phone
(262) 567-0470

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NPI record

NPI
1790534808
Entity type
Individual (Type 1)
Enumeration date
May 13, 2024
Last updated
November 25, 2024
Certified
November 25, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6001491-15 WI

About Dr. Nitz

Kevin Jacob Nitz, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 850 Summit Ave Stop 1, Oconomowoc, WI 53066-3920. The NPI number 1790534808 was assigned on May 13, 2024 and the record was last updated on November 25, 2024.

Dr. Nitz lists a license in the registry: #6001491-15 (WI) 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 Kevin Jacob Nitz, DDS?

The NPI number is 1790534808.

What is the phone number of Dr. Nitz?

The phone number listed for the practice location is (262) 567-0470.

Where is Dr. Nitz located?

850 Summit Ave Stop 1, Oconomowoc, WI 53066-3920.

What is the taxonomy code for Dr. Nitz?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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