Diane C Kelly Dmd, Pc in Gainesville - Pediatric Dentistry
Diane C Kelly Dmd, Pc - NPI 1740452465
Diane C Kelly Dmd, Pc is a Pediatric Dentistry in Gainesville, Georgia. Diane C Kelly Dmd, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Diane C Kelly Dmd, Pc is 1740452465. The last update date is 2008-08-19.
Diane C Kelly Dmd, Pc's current location address is 655 Jesse Jewell Pkwy Se, Gainesville, Georgia. You can contact this provider via phone number 7705399110 and fax number 6787148388. The mailing address for Diane C Kelly Dmd, Pc is 655 Jesse Jewell Pkwy Se, Gainesville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diane C Kelly Dmd, Pc |
|---|---|
| Address | 655 Jesse Jewell Pkwy Se, Gainesville, Georgia |
| Phone Number | 7705399110 |
| Fax Number | 6787148388 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER - AN |
|---|---|
| Authorized Official Name | Kelly C Diane |
| Credentials | DMD |
| Telephone Number | 6787147011 |
NPI Number Detail
| NPI Number | 1740452465 |
|---|---|
| Provider Enumeration Date | 2008-04-02 |
| Last Updated Date | 2008-08-19 |
Provider Mailing Address Detail
| Address | 655 Jesse Jewell Pkwy Se |
|---|---|
| City | Gainesville |
| State | Georgia (GA) |
| Post Code | 30501 |
| Phone Number | 7705399110 |
| Fax Number | 6787148388 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | DNO12082 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 186794814A | GA | -- | |
| 191450941A | GA | -- | |
| 390489607J | GA | -- | |
| 000046582Y | GA | -- | |
| 919057925B | GA | -- | |
| 514725717B | GA | -- | |
| 000851727B | GA | -- | |
| 609963109E | GA | -- | |
| 218323780A | GA | -- | |
| 609963109L | GA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Diane C Kelly Dmd, Pc by the Centers for Medicare & Medicaid Services?
The Diane C Kelly Dmd, Pc has been issued the NPI (National Provider Identifier) 1740452465. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Diane C Kelly Dmd, Pc's facilities are situated?
The facilities of Diane C Kelly Dmd, Pc are physically located at the following address: 655 Jesse Jewell Pkwy Se, Gainesville, GA, 30501.
What is Diane C Kelly Dmd, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Diane C Kelly Dmd, Pc is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date was the 1740452465 assigned to Diane C Kelly Dmd, Pc?
The Diane C Kelly Dmd, Pc was issued its 1740452465 on 2008-04-02, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Diane C Kelly Dmd, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Diane C Kelly Dmd, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-08-19.