Brian J Kelleher in Raleigh - General Practice
Brian J Kelleher - NPI 1114016771
Brian J Kelleher is a General Practice in Raleigh, North Carolina. Brian J Kelleher practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brian J Kelleher is 1114016771. The last update date is 2007-07-08.
Brian J Kelleher's current location address is 2609 Glenwood Ave, Raleigh, North Carolina. You can contact this provider via phone number 9197824444 and fax number 9197818118. The mailing address for Brian J Kelleher is 2609 Glenwood Ave, Raleigh, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Brian J Kelleher |
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Address | 2609 Glenwood Ave, Raleigh, North Carolina |
Phone Number | 9197824444 |
Fax Number | 9197818118 |
Sole Proprietor | N |
Credentials | D.D.S. |
NPI Number Detail
NPI Number | 1114016771 |
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Provider Enumeration Date | 2006-10-12 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 2609 Glenwood Ave |
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City | Raleigh |
State | North Carolina (NC) |
Post Code | 276081003 |
Phone Number | 9197824444 |
Fax Number | 9197818118 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 5819 |
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 identifier code issued to Brian J Kelleher by the Centers for Medicare & Medicaid Services?
The Brian J Kelleher has been assigned the NPI (National Provider Identifier) 1114016771. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Brian J Kelleher?
The Brian J Kelleher is physically situated at 2609 Glenwood Ave, in the city of Raleigh, state of NC, with the postal code 276081003.
What is the Brian J Kelleher's specialty and taxonomy code?
The Brian J Kelleher's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
When did Brian J Kelleher receive its 1114016771 assignment?
The Brian J Kelleher was assigned its 1114016771 on 2006-10-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Brian J Kelleher last refreshed?
The information related to the Brian J Kelleher, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY