Provider Demographics
NPI:1447470802
Name:NASIF, MICHEL COURY (DDS)
Entity type:Individual
Prefix:DR
First Name:MICHEL
Middle Name:COURY
Last Name:NASIF
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5123 W ST JOE HWY STE 101
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-4028
Mailing Address - Country:US
Mailing Address - Phone:517-321-4254
Mailing Address - Fax:517-321-0729
Practice Address - Street 1:5123 W ST JOE HWY STE 101
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917
Practice Address - Country:US
Practice Address - Phone:517-321-4254
Practice Address - Fax:517-321-0729
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901018914122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist