Patrick J Kelly DDS , P.C
NPI 1194081273 · General Practice Dentistry · Lincoln Park, MI
Enrolled with Medicare as Dme Supplier - Oral Surgery - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Patrick J Kelly DDS , P.C is a General Practice Dentistry organization in Lincoln Park, MI (NPI 1194081273).
Provider details
- NPI number
- 1194081273
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Shawn Lavoie, Insurance Biller31392885555
- License
- 2901016290 (MI)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Fort Street Dentistry
Registry dates
- Enumerated
- 2012-04-03
- Last updated
- 2012-04-03
Frequently asked questions
- What is Patrick J Kelly DDS , P.C's NPI number?
- Patrick J Kelly DDS , P.C's National Provider Identifier (NPI) is 1194081273, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Patrick J Kelly DDS , P.C?
- Patrick J Kelly DDS , P.C is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Patrick J Kelly DDS , P.C located?
- Patrick J Kelly DDS , P.C's practice location on file with NPPES is 4009 Fort St, Lincoln Park, MI 48146-4110.
- What is Patrick J Kelly DDS , P.C's phone number?
- The practice phone number listed in the NPPES registry for Patrick J Kelly DDS , P.C is (313) 928-8555.
- Does Patrick J Kelly DDS , P.C accept Medicare?
- Patrick J Kelly DDS , P.C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Patrick J Kelly DDS , P.C?
- The authorized official listed on Patrick J Kelly DDS , P.C's NPPES record is Shawn Lavoie, Insurance Biller. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Patrick J Kelly DDS , P.C's NPI active?
- Yes — Patrick J Kelly DDS , P.C's NPI (1194081273) is active in the NPPES registry as of the last update on 2012-04-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.