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General NPI Number Information
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NPI Number | 1730044306
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Entity Type | Organization
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Legal Business Name | NYE DENTAL OF DURAND PLLC
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Dates
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Enumeration Date | 12/17/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 103 W CLINTON ST
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City | DURAND
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State | MI
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Zip | 48429-1157
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Country | US
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Telephone | 989-288-6165
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Fax |
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Provider Business Mailing Address
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Address Line | 103 W CLINTON ST
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City | DURAND
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State | MI
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Zip | 48429-1157
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NABIH KIZI
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Credential |
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Telephone | 586-709-4210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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