Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083063754 Individual Practitioner Male Practitioner

Dr. Nicholas T Golba , DDS

Dentist - General Practice • Manistique, MI

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Golba, DDS is a registered healthcare professional specializing in Dentist - General Practice in Manistique, MI. Practice services are available at MANISTIQUE TRIBAL HEALTH CENTER under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Manistique Tribal Health Center
5698 W Us-2

Manistique, MI 49854

Telephone 9063418469
Fax 9063723230
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Manistique, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
6 Specialists

Practicing in Manistique, MI (4360 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-11-17
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901021897

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1033171301

Doctor of Osteopathic Medicine (D.O.)

Nicole Rutherford

Community Health Worker

NPI 1063364610
Kay Baranczyk , APNP

Nurse Practitioner - Family

NPI 1073246138

Advanced Practice Nurse Prescriber

NPI 1093979700

Doctor of Medicine (M.D.)

Jessica Bernard , BSW

Counselor - Addiction (Substance Use Disorder)

NPI 1104067172

Bachelor of Social Work

Christiann Rosemurgy , CNM

Advanced Practice Midwife

NPI 1104236256

Certified Nurse Midwife

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location November 17, 2025

Registered at MANISTIQUE TRIBAL HEALTH CENTER, 5698 W US-2, MANISTIQUE, MI 49854 (Tel: 9063418469)

📍
Updated Practice Location March 08, 2022

Registered at 56720 CALUMET AVE, CALUMET, MI 499131967 (Tel: 9064831177)

📍
Updated Business Mailing Address March 08, 2022

Registered at 301 EXPLORER ST, GWINN, MI 498412813 (Tel: 9064831177)

👤
Provider Name / Credentials Updated March 08, 2022

Recorded as NICHOLAS GOLBA, DDS

NPI Profile Active June 03, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2016

Registered at 3375 S AIRPORT RD W, TRAVERSE CITY, MI 496847929 (Tel: 2317144380)

📍
Updated Business Mailing Address June 03, 2016

Registered at 3375 S AIRPORT RD W, TRAVERSE CITY, MI 496847929 (Tel: 2317144380)

👤
Provider Name / Credentials Updated June 03, 2016

Recorded as NICHOLAS GOLBA, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2016

Dentist (License #2901021897 in MI)

🟢
Initial NPI Registration & Enumeration June 03, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083063754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2016
Last Update: November 17, 2025
Sole Proprietor: Yes

Mailing Address

301 Explorer St

Gwinn, MI 498412813

Phone: 9064831177

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.