Organization · Type 2 NPI

Kelly Plaza Dental Ct. PC

General Practice Dentistry · Detroit, MI

NPI number 1770507451 Active

Practice location

12434 Kelly Rd.
Detroit, MI 48224

Call (313) 839-8200 Map

Fax (313) 839-2772

Mailing address

12434 Kelly Rd
Detroit, MI 48224-1518

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X1593854 (MI)

General Practice Dentistry: 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.

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About NPI 1770507451

Kelly Plaza Dental Ct. PC's National Provider Identifier is 1770507451, issued on Jul 27, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Detroit, MI. The record was last updated on Aug 22, 2020.