| Nye Dental Of Taylor | |
|
14745 Northline Rd Southgate MI 48195-2407 | |
| (734) 374-2070 | |
| Not Available |
| Full Name | Nye Dental Of Taylor |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14745 Northline Rd, Southgate, Michigan |
| Authorized Official Name and Position | Nabih Kizy (MANAGER) |
| Authorized Official Contact | 5867094210 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nye Dental Of Taylor 14745 Northline Rd Southgate MI 48195-2407 Ph: (734) 374-2070 | Nye Dental Of Taylor 14745 Northline Rd Southgate MI 48195-2407 Ph: (734) 374-2070 |
| NPI Number | 1780292060 |
|---|---|
| Provider Enumeration Date | 07/22/2020 |
| Last Update Date | 12/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780292060 | NPI | - | NPPES |
| 1942649454 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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