# KEITH D NOWICKI DDS PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr Keith Nowicki
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851020606
- **Authorized official:** DR. KEITH D NOWICKI DO (DR)
- **Authorized official phone:** (586) 293-3633

## Contact information

- **Practice address:** 32545 GARFIELD RD, FRASER, MI 48026-3843
- **Practice address phone:** (586) 293-3633
- **Practice address fax:** (586) 293-5683
- **Mailing address:** 32545 GARFIELD RD, FRASER, MI 48026-3843
- **Mailing address phone:** (586) 293-3633
- **Mailing address fax:** (586) 293-5683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/07/2022
- **Last updated:** 06/07/2022