Shawn Patrick Kelly in Somerdale - General Practice

Shawn Patrick Kelly - NPI 1013082189

Shawn Patrick Kelly is a General Practice in Somerdale, New Jersey. Shawn Patrick Kelly practices all healthcare services and medical treatments related to General Practice. The NPI Number for Shawn Patrick Kelly is 1013082189. The last update date is 2013-05-29.

Shawn Patrick Kelly's current location address is 13 Somerdale Sq, Somerdale, New Jersey. You can contact this provider via phone number 8565666969 and fax number 8565666012. The mailing address for Shawn Patrick Kelly is 13 Somerdale Sq, Somerdale, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Shawn Patrick Kelly
Address 13 Somerdale Sq, Somerdale, New Jersey
Phone Number 8565666969
Fax Number 8565666012
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1013082189
Provider Enumeration Date 2006-11-22
Last Updated Date 2013-05-29

Provider Mailing Address Detail

Address 13 Somerdale Sq
City Somerdale
State New Jersey (NJ)
Post Code 80831345
Phone Number 8565666969
Fax Number 8565666012

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 22DI02260700
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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FAQs about Shawn Patrick Kelly

What is the unique provider identifier assigned to Shawn Patrick Kelly?

The Shawn Patrick Kelly has been issued the NPI (National Provider Identifier) 1013082189 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Shawn Patrick Kelly?

The Shawn Patrick Kelly is physically situated at 13 Somerdale Sq, in the city of Somerdale, state of NJ, with the postal code 80831345.

What is Shawn Patrick Kelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Shawn Patrick Kelly is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1013082189 to Shawn Patrick Kelly?

The Centers for Medicare & Medicaid Services originally issued the 1013082189 to Shawn Patrick Kelly on 2006-11-22.

When was the information related to Shawn Patrick Kelly most recently updated or refreshed?

The details pertaining to the Shawn Patrick Kelly, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-05-29.

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