Individual
DR. NICHOLAS KADDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2501 W PIERSON RD, FLINT, MI 48504-6802
(810) 789-5880
Mailing address
1936 MAPLEWOOD AVE, BLOOMFIELD HILLS, MI 48302-0209
(248) 535-6287
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22164130600
MI
122300000X
Dentist
Primary
2901601388
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/22/2022
Last updated
06/15/2022
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