Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly Plaza Dental CT PC

Organization General Practice Dentistry · NPI 1770507451

Kelly Plaza Dental CT PC is a General Practice Dentistry in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2006.

Licensed in
MI
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12434 Kelly Rd
Detroit, MI 48224
Phone: (313) 839-8200
Fax: (313) 839-2772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 1593854 (MI)

Record details

NPI number1770507451
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wilbert Purifoy — President · (313) 839-8200
NPI enumeratedJuly 27, 2006
Last updated in NPPESAugust 22, 2020
Mailing address12434 Kelly Rd, Detroit, MI 48224-1518

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