MICHAEL E. KELLAM DMD, PC
NPI 1750522041
Dentist - Oral and Maxillofacial Surgery in Saraland, AL

Active since March 16, 2009
1064 INDUSTRIAL PKWY, SARALAND, AL 36571(251) 675-8150(251) 675-8152 Get Directions Write a Review

NPPES record last updated: May 27, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael E. Kellam Dmd, Pc NPPES

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

MICHAEL E. KELLAM DMD, PC (NPI 1750522041) is a healthcare organization registered as an oral and maxillofacial surgery in Saraland, Alabama and active in the NPI registry since March 2009. The organization lists Michael E Kellam, Dmd, Practice Owner, as its authorized official.

NPPES Registry Identity

NPI1750522041
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameMICHAEL E. KELLAM DMD, PC
Location Address1064 INDUSTRIAL PKWYSaraland, AL 36571-3720
Mailing Address1064 Industrial PkwySaraland, AL 36571-3720 · (251) 675-8150 · Fax (251) 675-8152
Fax(251) 675-8152
Organization SubpartNo
Authorized OfficialMichael E KellamDmd, Practice Owner · (251) 675-8150
Enumeration DateMarch 16, 2009
Last NPPES UpdateMay 27, 2009
✔ NPI 1750522041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in AL · 5252
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1064 INDUSTRIAL PKWY, Saraland, AL 36571

Other Identifiers 3

Other515-11923AL · Blue Cross Blue Shield
Medicaid009937656AL
Medicare PIN051511923AL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael E. Kellam Dmd, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Michael E. Kellam Dmd, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Oral Surgery
NPI 1851491765
1064 INDUSTRIAL PKWY
Saraland, AL 36571
(251) 675-4313
✔ PECOS0.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 E. Kellam Dmd, PC's NPI number?

The NPI number for Michael E. Kellam Dmd, PC is 1750522041. It was assigned to this organization in the NPPES registry on March 16, 2009.

Where is Michael E. Kellam Dmd, PC located?

Michael E. Kellam Dmd, PC is located at 1064 Industrial Pkwy, Saraland, AL 36571. The listed phone number is (251) 675-8150.

What is Michael E. Kellam Dmd, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael E. Kellam Dmd, PC enrolled in Medicare?

Yes. Michael E. Kellam Dmd, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michael E. Kellam Dmd, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Oral Surgery) reassigns their Medicare billing to Michael E. Kellam Dmd, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Michael E. Kellam Dmd, PC accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and UnitedHealthcare list Michael E. Kellam Dmd, PC 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 E. Kellam Dmd, PC was last updated on May 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.