SELDEN P SKELLY DDS
NPI 1760590202
Dentist - General Practice in Dearborn, MI

Active since August 25, 2006PECOS Enrolled
24718 MICHIGAN AVE, DEARBORN, MI 48124(313) 565-3131(313) 565-7103 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Selden P Skelly Dds NPPES

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

SELDEN P SKELLY DDS (NPI 1760590202) is an individual general practice provider in Dearborn, Michigan, licensed in Michigan (2901009565) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760590202
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSELDEN P SKELLYCredential: DDS
Location Address24718 MICHIGAN AVEDearborn, MI 48124
Mailing Address24718 Michigan AveDearborn, MI 48124 · (313) 565-3131 · Fax (313) 565-7103
Fax(313) 565-7103
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1760590202 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 · 2901009565
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.

24718 MICHIGAN AVE, Dearborn, MI 48124

Other Identifiers 1

Medicaid4048657MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Selden P Skelly Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
24718 MICHIGAN AVE
DEARBORN, MI 48124
Dentist (General Practice)
24718 MICHIGAN AVE
DEARBORN, MI 48124
Dentist (General Practice)
24718 MICHIGAN AVE
DEARBORN, MI 48124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760590202, enumerated as an "individual" on August 25, 2006.

The provider is located at 24718 MICHIGAN AVE DEARBORN, MI 48124 and the phone number is (313) 565-3131.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.