DR. GERALD F. KELLY JR. (NPI# 1417961608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417961608 |
| Entity Type | Individual |
| Full Name | DR. GERALD F. KELLY JR. |
| Credential | DDS |
| Practice Address |
17284 Farmington Rd. Livonia MI 48152 |
| Practice Telephone | 7344211107 |
| Practice Fax Number | 7344211109 |
| Mailing Telephone | 7344211107 |
| Mailing Fax Number | 7344211109 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2015-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
15532 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911760 | Gerald Kelly | Occupational Therapist | 625 Piney Forest Rd Ste 403, Danville, VA 24540-2870 | 2020-08-06 |
| 1659308492 | Gerald Kelly | Family Medicine | 181 N Belle Mead Rd, East Setauket, NY 11733-3495 | 2006-06-27 |
| Street Address |
17284 FARMINGTON RD. |
| City | LIVONIA |
| State | MI |
| Zip Code | 48152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648171 | Hillary Fitzsimmons Psyd Pllc | Clinic/Center | 19455 Weyhar St, Livonia, MI 48152 | 2020-10-30 |
| 1639780968 | Goyanka Ranganathan | Student in an Organized Health Care Education/Training Program | Ipc Primary Care Internal Medicine, 37595 Seven Mile Road, Suite 340, Livonia, MI 48152 | 2020-08-11 |
| 1457988552 | Adam Ouellette | Student in an Organized Health Care Education/Training Program | St. Joe's Outpatient Psychiatry and Counseling Center, 37595 Seven Mile Rd, Suite 230, Livonia, MI 48152 | 2020-03-26 |
| 1972006047 | Genise Kerner Md PC | Clinic/Center | 37675 Pembrooke Ave, Livonia, MI 48152 | 2018-03-14 |
| 1205340593 | Rafal Hamamh | Dentist | 37595 7 Mile Rd Ste 4450, Livonia, MI 48152 | 2017-11-22 |
| 1053830489 | Felicia Cerise Reese | Registered Nurse | 17197 N. Laurel Park Drive, 555, Livonia, MI 48152 | 2017-09-18 |
| 1164943882 | Muhammad Yasir | Student in an Organized Health Care Education/Training Program | 37595 Seven Mile Rd. #340, Livonia, MI 48152 | 2017-07-03 |
| 1184154544 | St Mary Mercy Physician Practices | Clinic/Center | 39201 7 Mile Rd Bldg Room140, Livonia, MI 48152 | 2017-06-18 |
| 1912437518 | Divonne Touch | Clinic/Center | 18298 Middlebelt, Liviona, MI 48152 | 2017-06-15 |
| 1861922445 | Cheryl Lang | Physical Therapist | 17177 N Laurel Park Drive, Suite 417, Livonia, MI 48152 | 2017-06-15 |
| Find all providers in zip 48152 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047641 | Michigan Implant Dental Center | Dentist | 28701 Plymouth Rd Ste B, Livonia, MI 48150-2421 | 2020-09-11 |
| 1881210573 | John Patrick Duerr | Dentist | 18618 Middlebelt Rd Ste 105, Livonia, MI 48152-3586 | 2020-06-18 |
| 1245719434 | Myron Rubin Dds PC | Dentist | 15357 Frmington Rd, Livonia, MI 48154 | 2018-08-09 |
| 1649763368 | Brian Kelly | Dentist | 9134 Middlebelt Rd, Livonia, MI 48150-4035 | 2018-06-07 |
| 1972975837 | Majestic Dentist Pllc | Dentist | 32788 Five Mile Rd, Livonia, MI 48154-6001 | 2015-10-30 |
| 1760852735 | Vmlp Liv Plc | Dentist | 13417 Middlebelt Rd, Livonia, MI 48150-2229 | 2015-10-02 |
| 1811300130 | Christine Eskander | Dentist | 14600 Farmington Rd Ste 103, Livonia, MI 48154-5431 | 2014-06-04 |
| 1336494954 | Lindsay Ann Holman | Dentist | 32280 Five Mile Rd, Livonia, MI 48154-6112 | 2012-07-19 |
| 1790004711 | Thomas Stephen Schwagle | Dentist | 16232 Fairlane Dr, Livonia, MI 48154-2568 | 2010-06-01 |
| 1154653319 | Qualitas Dental Group, PC | Dentist | 17199 N Laurel Park Dr, Suite 200, Livonia, MI 48152-2683 | 2010-02-12 |
| Find all providers in LIVONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.