Individual provider · Type 1 NPI

Kelly Michelle Fenn, DDS, MSD

Orthodontics and Dentofacial Orthopedics Dentistry · Washington, MI

NPI number 1144818212 Active

Practice location

64845 Van Dyke Rd
Washington, MI 48095-2836

Mailing address

54557 Jeffery Dr
Macomb, MI 48042-5815

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2901600792 (MI)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X2901600792 (MI)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1144818212

Kelly Michelle Fenn, DDS, MSD's National Provider Identifier is 1144818212, issued on Jan 5, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Washington, MI. The record was last updated on Dec 18, 2024.