Healthcare Provider Details

I. General information

NPI: 1558425488
Provider Name (Legal Business Name): KELLY ANN SCHERR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 TAYLOR ST SUITE A
CHELSEA MI
48118-2301
US

IV. Provider business mailing address

901 TAYLOR ST SUITE A
CHELSEA MI
48118-2301
US

V. Phone/Fax

Practice location:
  • Phone: 734-475-7303
  • Fax: 734-433-4270
Mailing address:
  • Phone: 734-475-7303
  • Fax: 734-433-4270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number2901015648
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: