KELLY MICHELLE FENN DDS, MSD
NPI 1144818212
Dentist - Orthodontics and Dentofacial Orthopedics in Washington, MI

Active since January 05, 2021
64845 VAN DYKE RD, WASHINGTON, MI 48095(586) 752-3504 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 18, 2024, Jan 5, 2021 (2 updates tracked since 2021).

About Kelly Michelle Fenn Dds, Msd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MICHELLE FENN DDS, MSD (NPI 1144818212) is an individual orthodontics and dentofacial orthopedics provider in Washington, Michigan, licensed in Michigan (2901600792) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1144818212
Entity TypeIndividualFemale
Primary Taxonomy1223X0400X
Provider Legal NameKELLY MICHELLE FENNCredential: DDS, MSD
Location Address64845 VAN DYKE RDWashington, MI 48095-2836
Mailing Address54557 Jeffery DrMacomb, MI 48042-5815 · (586) 419-2064
Sole ProprietorNo
Enumeration DateJanuary 5, 2021
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
NPI 1144818212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in MI · 2901600792
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
Also ListedDentistTaxonomy 122300000X · License 2901600792 (MI)
64845 VAN DYKE RD, Washington, MI 48095

Accepted Insurance

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
64845 VAN DYKE RD
WASHINGTON, MI 48095
Dentist (General Practice)
64845 VAN DYKE RD
WASHINGTON, MI 48095
Dentist
64845 VAN DYKE RD, #3
WASHINGTON, MI 48095
Dentist (Orthodontics and Dentofacial Orthopedics)
64845 VAN DYKE RD
WASHINGTON, MI 48095
Dentist (Orthodontics and Dentofacial Orthopedics)
64845 VAN DYKE RD
WASHINGTON, MI 48095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Fenn's NPI number?

The NPI number for Kelly Fenn is 1144818212. It was assigned to this individual provider in the NPPES registry on January 5, 2021.

Where is Kelly Fenn located?

Kelly Fenn practices at 64845 Van Dyke Rd, Washington, MI 48095. The listed phone number is (586) 752-3504.

What is Kelly Fenn's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

What insurance does Kelly Fenn accept?

Health plans from Delta Dental of Michigan list Kelly Fenn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Fenn was last updated on December 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.