Kelly M. Gonzales, Dds, Pc in Georgetown - Pediatric Dentistry
Kelly M. Gonzales, Dds, Pc - NPI 1801060660
Kelly M. Gonzales, Dds, Pc is a Pediatric Dentistry in Georgetown, Texas. Kelly M. Gonzales, Dds, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Kelly M. Gonzales, Dds, Pc is 1801060660. The last update date is 2009-09-23.
Kelly M. Gonzales, Dds, Pc's current location address is 1103 Rivery Blvd, Georgetown, Texas. You can contact this provider via phone number 5128649595. The mailing address for Kelly M. Gonzales, Dds, Pc is 1103 Rivery Blvd, Georgetown, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Kelly M. Gonzales, Dds, Pc |
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Address | 1103 Rivery Blvd, Georgetown, Texas |
Phone Number | 5128649595 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Gonzales Marie Kelly |
Credentials | DDS |
Telephone Number | 5128649595 |
NPI Number Detail
NPI Number | 1801060660 |
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Provider Enumeration Date | 2008-04-14 |
Last Updated Date | 2009-09-23 |
Provider Mailing Address Detail
Address | 1103 Rivery Blvd |
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City | Georgetown |
State | Texas (TX) |
Post Code | 786283034 |
Phone Number | 5128649595 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Pediatric Dentistry |
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Taxonomy | 1223P0221X |
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. |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kelly M. Gonzales, Dds, Pc by the Centers for Medicare & Medicaid Services?
The Kelly M. Gonzales, Dds, Pc has been issued the NPI (National Provider Identifier) 1801060660 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Kelly M. Gonzales, Dds, Pc's facilities are geographically located?
The facilities of Kelly M. Gonzales, Dds, Pc are physically situated at the following location: 1103 Rivery Blvd, Georgetown, TX, 786283034.
What is Kelly M. Gonzales, Dds, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly M. Gonzales, Dds, Pc is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
When did Kelly M. Gonzales, Dds, Pc receive its 1801060660 assignment?
The Kelly M. Gonzales, Dds, Pc was assigned its 1801060660 on 2008-04-14, which is the date when this unique identifier was issued to the organization.
When was the information related to Kelly M. Gonzales, Dds, Pc most recently updated or refreshed?
The details pertaining to the Kelly M. Gonzales, Dds, Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-09-23.
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