Individual
NICHOLAS SHIREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9416 S MAIN ST, PLYMOUTH, MI 48170-4157
(734) 455-2323
Mailing address
9416 S MAIN ST STE 111, PLYMOUTH, MI 48170-4146
(734) 455-2323
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901022928
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901022928
MI
Other
Enumeration date
08/28/2015
Last updated
05/12/2026
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