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

Nicole Shively

Individual provider Dental Hygienist · NPI 1407319767

Nicole Shively is a Dental Hygienist in Benzonia, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

6051 Frankfort Hwy
Benzonia, MI 49616-9558
Phone: (231) 383-4800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Hygienist (primary) Taxonomy 124Q00000X · Licence 2902014461 (MI)

Record details

NPI number1407319767
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 12, 2019
Last updated in NPPESApril 12, 2019
Mailing address10767 E Traverse Hwy, Traverse City, MI 49684-6219

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