Patrick J Kelly DDS , P.C
NPI 1194081273ActiveOrganization· Dentist, General Practice· Lincoln Park, MI
Dentist, General Practice in Lincoln Park, Michigan, registered in NPPES in April 2012. The authorized official on file is Shawn M. Lavoie, Insurance Biller. Enrolled in Medicare as dme supplier - oral surgery - dentist and part b supplier - clinic/group practice.
Overview
| NPI | 1194081273 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 3, 2012 |
| Last updated in NPPES | Apr 3, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 2901016290 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Oral Surgery - Dentist (MI); Part B Supplier - Clinic/Group Practice (MI) |
|---|
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