Organization
NATHAN D NITZ, DMD PLLC
Active
Other names
Capitol Smiles - Nathan D Nitz, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN D NITZ DMD (OWNER)
(502) 223-3468
Entity
Organization
Contact information
Practice address
105 DIAGNOSTIC DR, SUITE A, FRANKFORT, KY 40601-6559
(502) 223-3468
Mailing address
105 DIAGNOSTIC DR, SUITE A, FRANKFORT, KY 40601-6559
(502) 223-3468
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
9470
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100400700
—
KY
Enumeration date
06/27/2016
Last updated
06/27/2016
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