Gerald F. Kelly Jr., DDS

General Practice Dentistry · Livonia, MI

Individual Active NPI

NPI number 1417961608

Practice location

17284 Farmington Rd.
Livonia, MI 48152
Phone
(734) 421-1107
Fax
(734) 421-1109

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NPI record

NPI
1417961608
Entity type
Individual (Type 1)
Enumeration date
July 27, 2006
Last updated
June 16, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 15532 MI

About Dr. Kelly

Gerald F. Kelly Jr., DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 17284 Farmington Rd., Livonia, MI 48152. The NPI number 1417961608 was assigned on July 27, 2006 and the record was last updated on June 16, 2015.

Dr. Kelly lists a license in the registry: #15532 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Gerald F. Kelly Jr., DDS?

The NPI number is 1417961608.

What is the phone number of Dr. Kelly?

The phone number listed for the practice location is (734) 421-1107.

Where is Dr. Kelly located?

17284 Farmington Rd., Livonia, MI 48152.

What is the taxonomy code for Dr. Kelly?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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