KEVIN CHARLES KELLY D.D.S.
NPI 1225123904
Dentist - General Practice in Traverse City, MI

Q: What is Kevin Kelly's NPI number?

The NPI number for Kevin Kelly is 1225123904. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Kevin Kelly's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kevin Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 04, 2006

555 S GARFIELD AVE, TRAVERSE CITY, MI 49686(231) 947-0210(231) 947-6770 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Kevin Charles Kelly D.d.s. NPPES

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

KEVIN CHARLES KELLY D.D.S. (NPI 1225123904) is an individual general practice provider in Traverse City, Michigan, licensed in Michigan (12127) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1225123904

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameKEVIN CHARLES KELLYCredential: D.D.S.

Location Address555 S GARFIELD AVETraverse City, MI 49686-3423

Mailing Address555 S Garfield AveTraverse City, MI 49686-3423 · (231) 947-0210 · Fax (231) 947-6770

Phone(231) 947-0210

Fax(231) 947-6770

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1225123904 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 · 12127

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.

555 S GARFIELD AVE, Traverse City, MI 49686

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Other Identifiers 1

Medicare ID-Type UnspecifiedN51680001

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.

PATRICK CALVIN KELLY D.D.S.

Dentist (General Practice)

555 S GARFIELD AVE
TRAVERSE CITY, MI 49686

Grand Traverse County (231) 947-0210

DR. JOSHUA CHARLES VANHORN DDS

Dentist

555 S GARFIELD AVE
TRAVERSE CITY, MI 49686

Grand Traverse County (231) 947-0210

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 Kevin Kelly's NPI number?

The NPI number for Kevin Kelly is 1225123904. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Kevin Kelly located?

Kevin Kelly practices at 555 S Garfield Ave, Traverse City, MI 49686. The listed phone number is (231) 947-0210.

What is Kevin Kelly's specialty?

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

When was this NPI record last updated?

The NPPES record for Kevin Kelly was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.