DR. ALAN J. NIDETZ DDS
NPI 1427348903
Dentist - General Practice in Skokie, IL

Active since April 18, 2011
4905 OLD ORCHARD CTR, SUITE 420, SKOKIE, IL 60077(847) 673-9292(847) 674-4696 Get Directions Write a Review

NPPES record last updated: April 18, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alan J. Nidetz Dds NPPES

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

DR. ALAN J. NIDETZ DDS (NPI 1427348903) is an individual general practice provider in Skokie, Illinois, licensed in Illinois (019.017653) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1427348903
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ALAN J. NIDETZCredential: DDS
Location Address4905 OLD ORCHARD CTR, SUITE 420Skokie, IL 60077-1458
Mailing Address4905 Old Orchard Ctr, Suite 420Skokie, IL 60077-1458 · (847) 673-9292 · Fax (847) 674-4696
Fax(847) 674-4696
Sole ProprietorYes
Enumeration DateApril 18, 2011
NPI 1427348903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses Licensed in IL · 019.017653 Licensed in IL · 019.020212
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4905 OLD ORCHARD CTR, Skokie, IL 60077

Other Providers at the Same Location NPPES 20

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

Counselor (Professional)
4905 OLD ORCHARD CTR, SUITE428
SKOKIE, IL 60077
Obstetrics & Gynecology
4905 OLD ORCHARD CTR, STE 330
SKOKIE, IL 60077
Internal Medicine
4905 OLD ORCHARD CTR
SKOKIE, IL 60077
Surgery
4905 OLD ORCHARD CTR, SUITE 409
SKOKIE, IL 60077
General Practice
4905 OLD ORCHARD CTR, SUITE 634
SKOKIE, IL 60077
Psychologist (Clinical)
4905 OLD ORCHARD CTR, SUITE 607
SKOKIE, IL 60077
Dentist (General Practice)
4905 OLD ORCHARD CTR, SUITE 420
SKOKIE, IL 60077
Dermatology
4905 OLD ORCHARD CTR, SUITE 318
SKOKIE, IL 60077

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 Alan Nidetz's NPI number?

The NPI number for Alan Nidetz is 1427348903. It was assigned to this individual provider in the NPPES registry on April 18, 2011.

Where is Alan Nidetz located?

Alan Nidetz practices at 4905 Old Orchard Ctr Suite 420, Skokie, IL 60077. The listed phone number is (847) 673-9292.

What is Alan Nidetz's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Alan Nidetz was last updated on April 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.