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FORT STREET DENTISTRY
NPI 1194081273
Dentist - General Practice in Lincoln Park, MI

Active since April 03, 2012
4009 FORT ST, LINCOLN PARK, MI 48146(313) 928-8555(313) 928-1399 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fort Street Dentistry NPPES

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

FORT STREET DENTISTRY (NPI 1194081273) is a healthcare organization registered as a general practice in Lincoln Park, Michigan and active in the NPI registry since April 2012. The organization lists Shawn M Lavoie, Insurance Biller, as its authorized official.

NPPES Registry Identity

NPI1194081273
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePATRICK J KELLY DDS , P.C
Location Address4009 FORT STLincoln Park, MI 48146-4110
Mailing Address4009 Fort StLincoln Park, MI 48146-4110 · (313) 928-8555 · Fax (313) 928-1399
Phone(313) 928-8555
Fax(313) 928-1399
Organization SubpartNo
Authorized OfficialShawn M LavoieInsurance Biller · 31392885555
Enumeration DateApril 3, 2012
✔ NPI 1194081273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MI · 2901016290
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.
4009 FORT ST, Lincoln Park, MI 48146
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Other Names 1

Doing Business AsFort Street Dentistry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. ROBERT JOHN MORA DDS
Student in an Organized Health Care Education/Training Program
4009 FORT ST
LINCOLN PARK, MI 48146
Wayne County (313) 928-8555
MR. PATRICK JAMES KELLY DDS
Dentist
4009 FORT ST
LINCOLN PARK, MI 48146
Wayne County (313) 928-8555

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 Patrick J Kelly Dds , P.C's NPI number?

The NPI number for Patrick J Kelly Dds , P.C is 1194081273. It was assigned to this organization in the NPPES registry on April 3, 2012. The provider is doing business as Fort Street Dentistry.

Where is Patrick J Kelly Dds , P.C located?

Patrick J Kelly Dds , P.C is located at 4009 Fort St, Lincoln Park, MI 48146. The listed phone number is (313) 928-8555.

What is Patrick J Kelly Dds , P.C's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Patrick J Kelly Dds , P.C accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Patrick J Kelly Dds , P.C 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 Patrick J Kelly Dds , P.C was last updated on April 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.