Patrick Thomas Kelly in Fort Jackson - Dentist
Patrick Thomas Kelly - NPI 1285618322
Patrick Thomas Kelly is a Dentist in Fort Jackson, South Carolina. Patrick Thomas Kelly practices all healthcare services and medical treatments related to Dentist. The NPI Number for Patrick Thomas Kelly is 1285618322. The last update date is 2007-07-08.
Patrick Thomas Kelly's current location address is 3295 Forney St, Fort Jackson, South Carolina. You can contact this provider via phone number 8037516213 and fax number 8037516886. The mailing address for Patrick Thomas Kelly is 3295 Forney St, Fort Jackson, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrick Thomas Kelly |
|---|---|
| Address | 3295 Forney St, Fort Jackson, South Carolina |
| Phone Number | 8037516213 |
| Fax Number | 8037516886 |
| Sole Proprietor | X |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1285618322 |
|---|---|
| Provider Enumeration Date | 2005-12-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3295 Forney St |
|---|---|
| City | Fort Jackson |
| State | South Carolina (SC) |
| Post Code | 292075604 |
| Phone Number | 8037516213 |
| Fax Number | 8037516886 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4069 |
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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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What is the unique identifier code issued to Patrick Thomas Kelly by the Centers for Medicare & Medicaid Services (CMS)?
The Patrick Thomas Kelly has been assigned the NPI (National Provider Identifier) 1285618322. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Patrick Thomas Kelly located?
The Patrick Thomas Kelly is located at 3295 Forney St, Fort Jackson, SC 292075604.
Could you please provide the complete physical location address of Patrick Thomas Kelly?
The Patrick Thomas Kelly is physically situated at 3295 Forney St, in the city of Fort Jackson, state of SC, with the postal code 292075604.
When was the Patrick Thomas Kelly's information last updated?
The Patrick Thomas Kelly's information was last updated on 2007-07-08.
When was the information pertaining to Patrick Thomas Kelly most recently updated or revised?
The details related to Patrick Thomas Kelly, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.