Provider Demographics
NPI:1679327175
Name:NYE DENTAL OF STERLING PLLC
Entity Type:Organization
Organization Name:NYE DENTAL OF STERLING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NABIH
Authorized Official - Middle Name:
Authorized Official - Last Name:KIZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-709-4210
Mailing Address - Street 1:11453 15 MILE RD
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-3809
Mailing Address - Country:US
Mailing Address - Phone:586-939-3333
Mailing Address - Fax:
Practice Address - Street 1:11453 15 MILE RD
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48312-3809
Practice Address - Country:US
Practice Address - Phone:586-939-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty