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KELLY DENTAL ARTS NPI 1578842951


NPI Information

NPI: 1578842951
Provider Name: KELLY DENTAL ARTS
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
277 WHITE HORSE PIKE
SUITE 104
ATCO, NJ
ZIP 08004
Phone: (814) 404-8462
Get Directions

KELLY DENTAL ARTS is a general practice dentist in Atco, NJ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KELLY DENTAL ARTS NPI is 1578842951. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

277 WHITE HORSE PIKE
SUITE 104
ATCO, NJ
ZIP 08004-275
Phone: (814) 404-8462

The provider's authorized official is Dawn M Poli .
The authorized official title is Managing Member and has the following contact phone number (814) 404-8462.

The enumeration date for this NPI number is 8/16/2011 and was last updated on 8/16/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice22DI02260700NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11013082189OTHERINDIVIDUAL NPI NUMBER OF DENTIST
21306076617OTHERINDIVIDUAL NPI NUMBER OF DENTIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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