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
Address 1103 Rivery Blvd, Georgetown, Texas
Phone Number 5128649595
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Gonzales Marie Kelly
Credentials DDS
Telephone Number 5128649595

NPI Number Detail

NPI Number 1801060660
Provider Enumeration Date 2008-04-14
Last Updated Date 2009-09-23

Provider Mailing Address Detail

Address 1103 Rivery Blvd
City Georgetown
State Texas (TX)
Post Code 786283034
Phone Number 5128649595
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
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.

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FAQs about Kelly M. Gonzales, Dds, Pc

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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