KATELYN M NIETEN DDS PLC
NPI 1295464451
Clinic/Center - Dental in Mount Pleasant, MI

Active since June 05, 2022
611 E BROADWAY ST, MOUNT PLEASANT, MI 48858(989) 773-5299 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katelyn M Nieten Dds Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATELYN M NIETEN DDS PLC (NPI 1295464451), doing business as Broadway Family Dentistry, is a healthcare organization registered as a dental in Mount Pleasant, Michigan and active in the NPI registry since June 2022. The organization lists Katelyn Nieten, Owner, as its authorized official.

NPPES Registry Identity

NPI1295464451
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKATELYN M NIETEN DDS PLC
Location Address611 E BROADWAY STMount Pleasant, MI 48858-2793
Mailing Address611 E Broadway StMount Pleasant, MI 48858-2793
Organization SubpartNo
Authorized OfficialKatelyn NietenOwner · (989) 763-6094
Enumeration DateJune 5, 2022
Last NPPES UpdateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
NPI 1295464451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
611 E BROADWAY ST, Mount Pleasant, MI 48858

Other Names 1

Doing Business AsBroadway Family Dentistry

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
611 E BROADWAY ST
MT PLEASANT, MI 48858
Dentist
611 E BROADWAY ST
MT PLEASANT, MI 48858

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katelyn M Nieten Dds Plc's NPI number?

The NPI number for Katelyn M Nieten Dds Plc is 1295464451. It was assigned to this organization in the NPPES registry on June 5, 2022. The provider is doing business as Broadway Family Dentistry.

Where is Katelyn M Nieten Dds Plc located?

Katelyn M Nieten Dds Plc is located at 611 E Broadway St, Mount Pleasant, MI 48858. The listed phone number is (989) 773-5299.

What is Katelyn M Nieten Dds Plc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Katelyn M Nieten Dds Plc was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.