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KELLY ROAD DENTISTRY PLLC
NPI 1558254433
Clinic/Center - Dental in Roseville, MI

Active since May 30, 2025
25810 KELLY RD STE 2, ROSEVILLE, MI 48066(586) 775-4260 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 25, 2025, May 30, 2025 (2 updates tracked since 2025).

About Kelly Road Dentistry Pllc NPPES

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

KELLY ROAD DENTISTRY PLLC (NPI 1558254433) is a healthcare organization registered as a dental in Roseville, Michigan and active in the NPI registry since May 2025. The organization lists Wassim El Awadi, Owner, as its authorized official.

NPPES Registry Identity

NPI1558254433
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKELLY ROAD DENTISTRY PLLC
Location Address25810 KELLY RD STE 2Roseville, MI 48066-4467
Mailing Address460 N Franklin StDearborn, MI 48128-1573 · (734) 377-0264
Phone(586) 775-4260
Organization SubpartNo
Authorized OfficialWassim El AwadiOwner · (734) 377-0264
Enumeration DateMay 30, 2025
Last NPPES UpdateJune 25, 20252 updates tracked since enumeration
NPPES CertifiedJune 25, 2025
✔ NPI 1558254433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
25810 KELLY RD STE 2, Roseville, MI 48066
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Other Providers at the Same Location NPPES

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

VAN DE VYVER DENTAL, P.C.
Clinic/Center (Dental)
25810 KELLY RD STE 2
ROSEVILLE, MI 48066
Macomb County (734) 320-8939

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 Road Dentistry PLLC's NPI number?

The NPI number for Kelly Road Dentistry PLLC is 1558254433. It was assigned to this organization in the NPPES registry on May 30, 2025.

Where is Kelly Road Dentistry PLLC located?

Kelly Road Dentistry PLLC is located at 25810 Kelly Rd Ste 2, Roseville, MI 48066. The listed phone number is (586) 775-4260.

What is Kelly Road Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Kelly Road Dentistry PLLC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.