Kelly Family and Cosmetic Dentistry

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

KELLY FAMILY AND COSMETIC DENTISTRY

Practice address

2358 Genoa Business Park Dr
Brighton, MI 48114-7366

Phone

(810) 227-4111

NPI assigned

Sep 6, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Kelly, DDS

Title

General Dentist

Phone

(734) 353-9291

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Covington

  • General Practice Dentistry
  • Brighton, MI
  • NPI 1689230799
  NPD (past)
• Michael Page, D.D.S.

  • General Practice Dentistry
  • Brighton, MI
  • NPI 1326197955
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699660800000",
    "number": "1548046576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 GENOA BUSINESS PARK DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147366",
            "telephone_number": "810-227-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2358 GENOA BUSINESS PARK DR",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481147366",
            "telephone_number": "810-227-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "734-353-9291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karlee Kehres
• Catherine Anne Keister, LLMSW
• Keller Chiropractic, P.L.L.C.
• Kylee Keller, M.S.
• Ronald Dale Keller II
• Kelly Riley, PLLC
• Rachel Susanne Kennedy, NP
• Janis Kenny, HIS
• Kensington Ophthalmology PLC
• Karen Kerr

• Dental Clinic/Center in Brighton, MI
• Providers in Brighton, MI by specialty
• Dental Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.