# KENNETH A. VELICK, DDS, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033998281
- **Authorized official:** MEGHAN M WRIGHT (OFFICE MANAGER)
- **Authorized official phone:** (586) 323-7201

## Contact information

- **Practice address:** 44627 MOUND RD, STERLING HEIGHTS, MI 48314-1321
- **Practice address phone:** (586) 323-7201
- **Practice address fax:** (586) 731-5317
- **Mailing address:** 44627 MOUND RD, STERLING HEIGHTS, MI 48314-1321
- **Mailing address phone:** (586) 323-7201
- **Mailing address fax:** (586) 731-5317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/27/2023
- **Last updated:** 09/27/2023