Wayne G Kelly in Arverne - General Practice

Wayne G Kelly - NPI 1306834304

Wayne G Kelly is a General Practice in Arverne, New York. Wayne G Kelly practices all healthcare services and medical treatments related to General Practice. The NPI Number for Wayne G Kelly is 1306834304. The last update date is 2015-12-17.

Wayne G Kelly's current location address is 342 Beach 54th St, Arverne, New York. You can contact this provider via phone number 7184740801 and fax number 7183182247. The mailing address for Wayne G Kelly is 342 Beach 54th St, Arverne, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Wayne G Kelly
Address 342 Beach 54th St, Arverne, New York
Phone Number 7184740801
Fax Number 7183182247
Sole Proprietor Y
Credentials DDS.

NPI Number Detail

NPI Number 1306834304
Provider Enumeration Date 2005-10-12
Last Updated Date 2015-12-17

Provider Mailing Address Detail

Address 342 Beach 54th St
City Arverne
State New York (NY)
Post Code 116921782
Phone Number 7184740801
Fax Number 7183182247

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 37615
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
778267 NY --

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FAQs about Wayne G Kelly

What is the unique 10-digit identification code assigned to Wayne G Kelly by the Centers for Medicare & Medicaid Services?

The Wayne G Kelly has been issued the NPI (National Provider Identifier) 1306834304, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Wayne G Kelly is physically located?

The Wayne G Kelly is situated at the following address: 342 Beach 54Th St, Arverne, NY 116921782.

What is Wayne G Kelly's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Wayne G Kelly is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1306834304 to Wayne G Kelly?

The Wayne G Kelly received its 1306834304 assignment from the Centers for Medicare & Medicaid Services on 2005-10-12.

As of what date were the Wayne G Kelly's details last updated?

The information pertaining to the Wayne G Kelly, including its address, specialty, and other details, was most recently updated on 2015-12-17.

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