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GERALD F KELLY DDS PC NPI 1144008863


NPI Information

NPI: 1144008863
Provider Name: GERALD F KELLY DDS PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
17284 FARMINGTON RD
LIVONIA, MI
ZIP 48152
Phone: (734) 421-1107
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GERALD F KELLY DDS PC is a general practice dentist in Livonia, MI. The provider is 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. GERALD F KELLY DDS PC NPI is 1144008863. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17284 FARMINGTON RD
LIVONIA, MI
ZIP 48152-151
Phone: (734) 421-1107

The provider's authorized official is Gerald F Kelly .
The authorized official title is President and has the following contact phone number (734) 421-1107.

The enumeration date for this NPI number is 9/15/2023 and was last updated on 9/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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