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

DR. KELLY LYN BRADSHAW, D.D.S.

Active

DR. KELLY LYN BRADSHAW, D.D.S. is a General Dentistry healthcare provider located in ALLEN PARK, Michigan. NPI 1811123011 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ALLEN PARK, MI

Registration Details

NPI Number: 1811123011
Provider Type: Individual
Gender: Female
NPI Issued: Jun 2, 2009 (17.019132131463 yrs)
Last Updated: Aug 1, 2011
License: 2901019980 (MI)

Practice Information

Address: 9815 REECK RD

ALLEN PARK, MI, 481011356
Browse MI providers · Browse ZIP 48101
Phone: 3133838969
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in ALLEN PARK, MI

Name	Credential	NPI
DR. ROBERT C DELL	D.D.S.	1134123409
DR. BRIAN KEITH VAN NETTA	DDS	1528048345
PAUL MILES TALLY	D.D.S.	1194776856
DR. BRUCE ROSENBLUM	D.D.S.	1942333539
DR. JEFFREY A SEKERAK	D.D.S.	1114050085
DR. MARK ROBERT BALLENTINE	D.D.S.	1740309715

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.