Healthcare Provider Details

I. General information

NPI: 1760306443
Provider Name (Legal Business Name): MATTHEW NYE DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

423 DIVISION ST
DETROIT MI
48201
US

IV. Provider business mailing address

1965 WEBSTER ST
BIRMINGHAM MI
48009-7814
US

V. Phone/Fax

Practice location:
  • Phone: 313-228-6766
  • Fax:
Mailing address:
  • Phone: 989-712-0106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MATTHEW JOSEPH NYE
Title or Position: OWNER
Credential: DDS
Phone: 989-712-0106