Keith W Kelley DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901013476 Issued in MI

Legal business name

KEITH W KELLEY DDS PC

Doing business as

A Center For Family Dentistry

Practice address

1913 W South Blvd
Troy, MI 48098

Phone

(248) 828-3185

Fax

(248) 828-0197

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Keith W Kelley, DDS

Title

Owner President

Phone

(248) 828-3185

Specialties & licenses 1

Addresses

Other names 1

• A Center For Family Dentistry Doing business as

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1689763872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 W SOUTH BLVD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48098",
            "telephone_number": "248-828-3185",
            "fax_number": "248-828-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 W SOUTH BLVD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "48098",
            "telephone_number": "248-828-3185",
            "fax_number": "248-828-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH W KELLEY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "248-828-3185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901013476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Center For Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ann Kedrowicz, PT, DPT
• Rick Kedzierski
• Amber Keeler, MSW, LMSW
• Gayle Keider
• Colin James Keisling, COTA/L
• Dani Lynn Keith
• Angela Kejbou, OTR/L
• Keith W. Kelley, D.D.S.
• Rebecca Mae Kelley, FNP
• Thomas M Kelley, PH.D

• General Practice Dentistry in Troy, MI
• Providers in Troy, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.