Provider Demographics
NPI:1336308196
Name:KERRY, JULIE A (DDS MS)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:A
Last Name:KERRY
Suffix:
Gender:F
Credentials:DDS MS
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:K
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3250 PLYMOUTH ROAD
Mailing Address - Street 2:#104
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2555
Mailing Address - Country:US
Mailing Address - Phone:734-995-0515
Mailing Address - Fax:734-995-1299
Practice Address - Street 1:3250 PLYMOUTH ROAD
Practice Address - Street 2:#104
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2555
Practice Address - Country:US
Practice Address - Phone:734-995-0515
Practice Address - Fax:734-995-1299
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2008-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0141351223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics