Doctor profile · Federal record
Dr. Patrick Kelly, DDS
Dentist · Lincoln Park, MI
- NPI 1629149372
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4009 Fort St
Lincoln Park, MI 481464110
(313) 928-8555
fax (313) 928-1399
Credentials & registration
- NPI registered
- November 2006 — 20 yrs on file
- Profile last updated
- March 22, 2017
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Michigan #2901016290
- Medicaid
- MI #3334958
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629149372. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$137
Transactions
4
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Septodont Inc. | 1 | $54.09 | |
| Straumann USA LLC | 1 | $49.33 | |
| Align Technology, Inc. | 2 | $33.45 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
97
Patients
79
Total drug cost
$448
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 41 | 38 | $112 |
| Chlorhexidine Gluconate | Generic | 19 | 15 | $92 |
| Ibuprofen | Generic | 15 | 15 | $36 |
| Acetaminophen-Codeine (Acetaminophen With Codeine) | Brand | 11 | 11 | $32 |
| Prevident (Fluoride (Sodium)) | Brand | 11 | 0 | $177 |
Frequently asked questions
What is Dr. Patrick Kelly's medical specialty?
Dr. Patrick Kelly practices Dentist in Lincoln Park, MI.
Where does Dr. Patrick Kelly practice?
Dr. Patrick Kelly practices at 4009 Fort St, Lincoln Park, MI 481464110. Office phone: 3139288555.
What is Dr. Patrick Kelly's NPI?
Dr. Patrick Kelly's National Provider Identifier (NPI) is 1629149372, issued by NPPES.