KELLY PLAZA DENTAL CT. PC
NPI 1770507451
Dentist - General Practice in Detroit, MI

Q: What is Kelly Plaza Dental Ct. PC's NPI number?

The NPI number for Kelly Plaza Dental Ct. PC is 1770507451. It was assigned to this organization in the NPPES registry on July 27, 2006.

Q: What is Kelly Plaza Dental Ct. PC's specialty?

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

Active since July 27, 2006

12434 KELLY RD., DETROIT, MI 48224(313) 839-8200(313) 839-2772 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Kelly Plaza Dental Ct. Pc NPPES

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

KELLY PLAZA DENTAL CT. PC (NPI 1770507451) is a healthcare organization registered as a general practice in Detroit, Michigan and active in the NPI registry since July 2006. The organization lists Wilbert Purifoy, President, as its authorized official.

NPPES Registry Identity

NPI1770507451

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameKELLY PLAZA DENTAL CT. PC

Location Address12434 KELLY RD.Detroit, MI 48224

Mailing Address12434 Kelly RdDetroit, MI 48224-1518 · (313) 839-8200 · Fax (313) 839-2772

Phone(313) 839-8200

Fax(313) 839-2772

Organization SubpartNo

Authorized OfficialWilbert PurifoyPresident · (313) 839-8200

Enumeration DateJuly 27, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1770507451 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 · 1593854

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.

12434 KELLY RD., Detroit, MI 48224

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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

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 Plaza Dental Ct. PC's NPI number?

The NPI number for Kelly Plaza Dental Ct. PC is 1770507451. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Kelly Plaza Dental Ct. PC located?

Kelly Plaza Dental Ct. PC is located at 12434 Kelly Rd., Detroit, MI 48224. The listed phone number is (313) 839-8200.

What is Kelly Plaza Dental Ct. PC'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 Kelly Plaza Dental Ct. PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.