DR. MICHAEL WILLIAM KELLY DMD
NPI 1558085282
Dentist - Orthodontics and Dentofacial Orthopedics in Suffern, NY

Active since September 27, 2022
79 ROUTE 59 STE 4, SUFFERN, NY 10901(845) 357-0200 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael William Kelly Dmd NPPES

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

DR. MICHAEL WILLIAM KELLY DMD (NPI 1558085282) is an individual orthodontics and dentofacial orthopedics provider in Suffern, New York, licensed in New York (051619) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1558085282
Entity TypeIndividualMale
Primary Taxonomy1223X0400X
Provider Legal NameDR. MICHAEL WILLIAM KELLYCredential: DMD
Location Address79 ROUTE 59 STE 4Suffern, NY 10901-4900
Mailing Address79 Route 59 Ste 4Suffern, NY 10901-4900 · (845) 357-0200
Sole ProprietorYes
Enumeration DateSeptember 27, 2022
NPPES CertifiedSeptember 27, 2022
NPI 1558085282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in NY · 051619
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.
79 ROUTE 59 STE 4, Suffern, NY 10901

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

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 Michael Kelly's NPI number?

The NPI number for Michael Kelly is 1558085282. It was assigned to this individual provider in the NPPES registry on September 27, 2022.

Where is Michael Kelly located?

Michael Kelly practices at 79 Route 59 Ste 4, Suffern, NY 10901. The listed phone number is (845) 357-0200.

What is Michael Kelly's specialty?

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

What insurance does Michael Kelly accept?

Health plans from Humana list Michael Kelly 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 Michael Kelly was last updated on September 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.