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DR. KELLY LYN BRADSHAW D.D.S.
NPI 1811123011
Dentist - General Practice in Allen Park, MI

Active since June 02, 2009
9815 REECK RD, ALLEN PARK, MI 48101(313) 383-8969 Get Directions Write a Review

NPPES record last updated: August 1, 2011. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Dr. Kelly Lyn Bradshaw D.d.s. NPPES

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

DR. KELLY LYN BRADSHAW D.D.S. (NPI 1811123011) is an individual general practice provider in Allen Park, Michigan, licensed in Michigan (2901019980) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1811123011
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KELLY LYN BRADSHAWCredential: D.D.S.
Location Address9815 REECK RDAllen Park, MI 48101-1356
Mailing Address9815 Reeck RdAllen Park, MI 48101-1356 · (313) 383-8969
Phone(313) 383-8969
Sole ProprietorNo
Enumeration DateJune 2, 2009
Last NPPES UpdateAugust 1, 2011
✔ NPI 1811123011 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 · 2901019980
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.
9815 REECK RD, Allen Park, MI 48101
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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.

MARK R BALLENTINE DDS,PLLC
Dentist
9815 REECK RD
ALLEN PARK, MI 48101
Wayne County (313) 383-8960
DR. MARK ROBERT BALLENTINE D.D.S.
Dentist (General Practice)
9815 REECK RD
ALLEN PARK, MI 48101
Wayne County (313) 383-8960
RICHARD W. STRONG,D.D.S.,P.C.
Dentist (General Practice)
9815 REECK RD
ALLEN PARK, MI 48101
Wayne County (313) 383-2800

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 Bradshaw's NPI number?

The NPI number for Kelly Bradshaw is 1811123011. It was assigned to this individual provider in the NPPES registry on June 2, 2009.

Where is Kelly Bradshaw located?

Kelly Bradshaw practices at 9815 Reeck Rd, Allen Park, MI 48101. The listed phone number is (313) 383-8969.

What is Kelly Bradshaw's specialty?

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

What insurance does Kelly Bradshaw accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Michigan and 1 other insurer list Kelly Bradshaw 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 Kelly Bradshaw was last updated on August 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.