Nye Dental of Taylor

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NYE DENTAL OF TAYLOR

Practice address

14745 Northline Rd
Southgate, MI 48195-2407

Phone

(734) 374-2070

NPI assigned

Jul 22, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nabih Kizy

Title

Manager

Phone

(586) 709-4210

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1780292060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14745 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952407",
            "telephone_number": "734-374-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14745 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952407",
            "telephone_number": "734-374-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYE DENTAL OF TAYLOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "KIZY",
        "authorized_official_first_name": "NABIH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-709-4210"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942649454",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janila Norris
• Shenique Naki Norwood
• Vickie Lynn Novell, LMSW
• Heather Ann Nowland
• Nye Dental of Southgate PC
• Heather O'Boyle
• Samantha O'Droski
• Isabel Oakley
• Oakwood Ambulatory, LLC
• Oakwood Ambulatory, LLC

• Dental Clinic/Center in Southgate, MI
• Providers in Southgate, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.