# JAMES M KELLY DMD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haggerty Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760091268
- **Authorized official:** MRS. SHERRY HOGAN (OFFICE MANAGER)
- **Authorized official phone:** (734) 420-8300

## Contact information

- **Practice address:** 16000 N HAGGERTY RD, PLYMOUTH, MI 48170-4884
- **Practice address phone:** (734) 420-8300
- **Mailing address:** 16000 N HAGGERTY RD, PLYMOUTH, MI 48170-4884
- **Mailing address phone:** (734) 420-8300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 07/30/2020
- **Last updated:** 06/29/2022