Kelly Dentistry in Rochester - General Practice
Kelly Dentistry - NPI 1336158575
Kelly Dentistry is a General Practice in Rochester, Minnesota. Kelly Dentistry practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kelly Dentistry is 1336158575. The last update date is 2020-08-22.
Kelly Dentistry's current location address is 2475 Georgetowne Dr Nw, Rochester, Minnesota. You can contact this provider via phone number 5072807557. The mailing address for Kelly Dentistry is 2475 Georgetowne Dr Nw, Rochester, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kelly Dentistry |
|---|---|
| Address | 2475 Georgetowne Dr Nw, Rochester, Minnesota |
| Phone Number | 5072807557 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Kelly Irene Laura |
| Credentials | DMD |
| Telephone Number | 5072807557 |
NPI Number Detail
| NPI Number | 1336158575 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2475 Georgetowne Dr Nw |
|---|---|
| City | Rochester |
| State | Minnesota (MN) |
| Post Code | 559013214 |
| Phone Number | 5072807557 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D11640 |
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Definition: 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. |
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What is the unique 10-digit identification code issued to Kelly Dentistry by the Centers for Medicare & Medicaid Services?
The Kelly Dentistry has been assigned the NPI (National Provider Identifier) 1336158575 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Kelly Dentistry is geographically located?
The Kelly Dentistry is physically situated at the following location: 2475 Georgetowne Dr Nw, Rochester, MN, 559013214.
What is the Kelly Dentistry's specialty and taxonomy code?
The Kelly Dentistry's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336158575 to Kelly Dentistry?
The Kelly Dentistry received its 1336158575 assignment from the Centers for Medicare & Medicaid Services on 2006-08-05.
When was the information regarding Kelly Dentistry, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kelly Dentistry, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
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