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Kevin Charles Kelly, DDS
General Practice Dentistry in Traverse City, Michigan
NPI 1225123904

Kevin Charles Kelly is a General Practice Dentistry based in Traverse City, MI and is specialized in General Practice. Kevin Charles Kelly practices in Traverse City, MI and has the professional credentials of DDS. The NPI Number for Kevin Charles Kelly is 1225123904 and holds a License No. 12127 (Michigan).

The current practice location address for Kevin Charles Kelly is 555 S Garfield Ave, Traverse City, MI and can be reached out via phone at 231-947-0210 and via fax at 231-947-6770.

Location: 555 S Garfield Ave, Traverse City, MI, 49686-3423
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225123904
Provider Name
Kevin Charles Kelly
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
555 S Garfield Ave, Traverse City, MI, 49686-3423
Phone Number
231-947-0210
Fax Number
231-947-6770
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
555 S Garfield Ave
City
Traverse City
State
Michigan
Zip
49686-3423
Phone Number
231-947-0210
Fax Number
231-947-6770
person
Provider Business Mailing Address Details
Address
555 S Garfield Ave
City
Traverse City
State
Michigan
Zip
49686-3423
Phone Number
231-947-0210
Fax Number
231-947-6770
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
12127 (Michigan)
Definition
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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