Kelly Soares is a Dentist in Worcester, Massachusetts. Kelly Soares practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kelly Soares is 1780645002. The last update date is 2018-09-10.
Kelly Soares's current location address is 19 Tacoma St, Worcester, Massachusetts. You can contact this provider via phone number 5088521805 and fax number 5088538593. The mailing address for Kelly Soares is 19 Tacoma St, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Soares |
|---|---|
| Address | 19 Tacoma St, Worcester, Massachusetts |
| Phone Number | 5088521805 |
| Fax Number | 5088538593 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1780645002 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2018-09-10 |
Provider Mailing Address Detail
| Address | 19 Tacoma St |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16053516 |
| Phone Number | 5088521805 |
| Fax Number | 5088538593 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DN19743 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1301071 | MA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kelly Soares by the Centers for Medicare & Medicaid Services?
The Kelly Soares has been issued the NPI (National Provider Identifier) 1780645002. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Kelly Soares is physically located?
The Kelly Soares is situated at the following address: 19 Tacoma St, Worcester, MA 16053516.
What is Kelly Soares's area of expertise and its corresponding taxonomy classification?
The Kelly Soares's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1780645002 assigned to Kelly Soares?
The Kelly Soares was issued its 1780645002 on 2006-03-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Kelly Soares's information last updated?
The Kelly Soares's information was last updated on 2018-09-10.