Organization
MICHAEL E. KELLAM DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E KELLAM DMD (DMD, PRACTICE OWNER)
(251) 675-8150
Entity
Organization
Contact information
Practice address
1064 INDUSTRIAL PKWY, SARALAND, AL 36571-3720
(251) 675-8150
(251) 675-8152
Mailing address
1064 INDUSTRIAL PKWY, SARALAND, AL 36571-3720
(251) 675-8150
(251) 675-8152
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5252
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009937656
—
AL
01
—
515-11923
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/16/2009
Last updated
05/27/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up