Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Nathan David Fry, DMD

Individual provider Dentist · NPI 1558640888

Mr. Nathan David Fry, DMD is a Dentist in Petoskey, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

2503 Charlevoix Ave
Petoskey, MI 49770
Phone: (231) 347-5317
Fax: (231) 347-7933
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 2901020440 (MI)
Dentist Taxonomy 122300000X · Licence 2901020440 (MI)

Record details

NPI number1558640888
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedAugust 4, 2011
Last updated in NPPESMay 29, 2019

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