Healthcare Provider Details

I. General information

NPI: 1730044306
Provider Name (Legal Business Name): NYE DENTAL OF DURAND PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 W CLINTON ST
DURAND MI
48429-1157
US

IV. Provider business mailing address

103 W CLINTON ST
DURAND MI
48429-1157
US

V. Phone/Fax

Practice location:
  • Phone: 989-288-6165
  • Fax:
Mailing address:
  • Phone:
  • 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: NABIH KIZI
Title or Position: CEO
Credential:
Phone: 586-709-4210