# IMLAY CITY DENTAL, P.L.L.C.

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

## Provider details

- **NPI number:** 1740233915
- **Authorized official:** DR. HENRY D. NICHOLS D.D.S. (DENTIST)
- **Authorized official phone:** (810) 724-8080

## Contact information

- **Practice address:** 216 E 3RD ST, IMLAY CITY, MI 48444-1322
- **Practice address phone:** (810) 724-8080
- **Practice address fax:** (810) 724-3309
- **Mailing address:** 216 E 3RD ST, IMLAY CITY, MI 48444-1322
- **Mailing address phone:** (810) 724-8080
- **Mailing address fax:** (810) 724-3309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D800575 | MI | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 08/22/2020