| Capitol Smiles - Nathan D Nitz, Dmd | |
|
105 Diagnostic Dr Suite A Frankfort KY 40601-6559 | |
| (502) 223-3468 | |
| Not Available |
| Full Name | Capitol Smiles - Nathan D Nitz, Dmd |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 105 Diagnostic Dr, Frankfort, Kentucky |
| Authorized Official Name and Position | Nathan D Nitz (OWNER) |
| Authorized Official Contact | 5022233468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capitol Smiles - Nathan D Nitz, Dmd 105 Diagnostic Dr Suite A Frankfort KY 40601-6559 Ph: (502) 223-3468 | Capitol Smiles - Nathan D Nitz, Dmd 105 Diagnostic Dr Suite A Frankfort KY 40601-6559 Ph: (502) 223-3468 |
| NPI Number | 1225489610 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 06/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225489610 | NPI | - | NPPES |
| 7100400700 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9470 (Kentucky) | Primary |
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