Organization
FP FRANKFORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN NITZ DMD (OWNER)
(502) 223-3468
Entity
Organization
Contact information
Practice address
105 DIAGNOSTIC DR STE A, FRANKFORT, KY 40601-6559
(502) 223-3468
Mailing address
105 DIAGNOSTIC DR STE A, FRANKFORT, KY 40601-6559
(502) 223-3468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093085797
—
KY
05
—
1720491681
—
KY
Enumeration date
12/23/2021
Last updated
12/23/2021
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