# DRS NEVINS FAMILY DENTISTRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225115900
- **Authorized official:** MR. BRYAN EDWARD NEVINS DDS (OWNER)
- **Authorized official phone:** (231) 832-5621

## Contact information

- **Practice address:** 1419 N. STATE ST., BIG RAPIDS, MI 49307-9749
- **Practice address phone:** (231) 796-4409
- **Practice address fax:** (231) 796-2694
- **Mailing address:** 1419 N STATE ST, BIG RAPIDS, MI 49307-8688
- **Mailing address phone:** (231) 796-4409
- **Mailing address fax:** (231) 796-2694

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 16241 | MI | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 12/23/2008
