Individual
MITCHELL PATRICK KELLERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 PINCKNEY BLVD, BEAUFORT, SC 29902-6122
(843) 228-5600
Mailing address
2391 COPPER CREEK DR, BAY CITY, MI 48706-9072
(989) 415-2406
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602944
MI
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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