| Mr Michael Edward Kellam, DMD | |
|
1064 Industrial Pkwy, Saraland, AL 36571-3720 | |
| (251) 675-4313 | |
| (251) 675-4355 |
| Full Name | Mr Michael Edward Kellam |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1064 Industrial Pkwy, Saraland, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851491765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 5252 (Alabama) | Primary |
| Entity Name | Michael E Kellam Dmd Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750522041 PECOS PAC ID: 7012217540 Enrollment ID: O20151204001516 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Edward Kellam, DMD 1064 Industrial Parkway, Saraland, AL 36571 Ph: (251) 675-4313 | Mr Michael Edward Kellam, DMD 1064 Industrial Pkwy, Saraland, AL 36571-3720 Ph: (251) 675-4313 |
Dr. Jerald Allen Dixon Jr., D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 224 Shelton Beach Rd, Saraland, AL 36571 Phone: 251-675-3354 Fax: 251-675-3451 | |
Dr. John Green Jr., Dentist Medicare: Medicare Enrolled Practice Location: 1064 Industrial Pkwy, Saraland, AL 36571 Phone: 251-675-4313 | |
Mr. Shonn Michael Farni, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1064 Industrial Pkwy, Saraland, AL 36571 Phone: 251-675-4313 Fax: 251-675-4355 | |
Dr. Harrison Scott Jordan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1064 Industrial Pkwy, Saraland, AL 36571 Phone: 251-675-4313 | |
Dr. Tessa Reid, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 1064 Industrial Pkwy, Saraland, AL 36571 Phone: 251-675-4313 | |
Mr. Coutland Travis Farni, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1064 Industrial Pkwy, Saraland, AL 36571 Phone: 251-675-4313 Fax: 251-675-4355 | |
Dr. Charles Joseph Keith, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 315 Saraland Blvd N, Suite C, Saraland, AL 36571 Phone: 251-675-8658 |