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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY PLAZA DENTAL CT. PC

Active Organization

KELLY PLAZA DENTAL CT. PC is a General Dentistry organization located in DETROIT, Michigan. NPI 1770507451 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · DETROIT, MI

Registration Details

NPI Number
1770507451
Provider Type
Organization
NPI Issued
Jul 27, 2006 (20.055160544101 yrs)
Last Updated
Aug 22, 2020
License
1593854 (MI)

Practice Information

Address
12434 KELLY RD.
DETROIT, MI, 48224
Browse MI providers · Browse ZIP 48224
Phone
3138398200
Fax
3138392772
Primary Specialty
General Dentistry
1223G0001X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.