Nicholas T Golba, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901021897 Issued in MI

Practice address

Manistique Tribal Health Center
5698 W US-2
Manistique, MI 49854

Phone

(906) 341-8469

Fax

(906) 372-3230

NPI assigned

Jun 3, 2016

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 17, 2025.

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1083063754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 EXPLORER ST",
            "city": "GWINN",
            "state": "MI",
            "postal_code": "498412813",
            "telephone_number": "906-483-1177",
            "fax_number": "906-372-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANISTIQUE TRIBAL HEALTH CENTER",
            "address_2": "5698 W US-2",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "49854",
            "telephone_number": "906-341-8469",
            "fax_number": "906-372-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLBA",
        "first_name": "NICHOLAS",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Gagnon Snyder
• John Patrick Galey, MD
• Barbara Gauger, MSW
• Sandra Giammona, R.N.
• Kristi Lynn Gibson Kusnier, MD
• Krystal Goudreau, RN
• Great Lakes Recovery Centers
• Denise Greff, RDN
• Neil Eugene Grossnickle, MD
• Mandy L Gwaltney

• All providers in Manistique, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.