Organization
JAMES M KELLY DMD PC
Active
Other names
Haggerty Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERRY HOGAN (OFFICE MANAGER)
(734) 420-8300
Entity
Organization
Contact information
Practice address
16000 N HAGGERTY RD, PLYMOUTH, MI 48170-4884
(734) 420-8300
Mailing address
16000 N HAGGERTY RD, PLYMOUTH, MI 48170-4884
(734) 420-8300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/30/2020
Last updated
06/29/2022
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