Terry Michael Kelly in Tampa - Prosthodontics
Terry Michael Kelly - NPI 1750588059
Terry Michael Kelly is a Prosthodontics in Tampa, Florida. Terry Michael Kelly practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Terry Michael Kelly is 1750588059. The last update date is 2016-01-11.
Terry Michael Kelly's current location address is 10150 Highland Manor Dr, Tampa, Florida. You can contact this provider via phone number 8136822401 and fax number 8136822402. The mailing address for Terry Michael Kelly is 10150 Highland Manor Dr, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terry Michael Kelly |
|---|---|
| Address | 10150 Highland Manor Dr, Tampa, Florida |
| Phone Number | 8136822401 |
| Fax Number | 8136822402 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1750588059 |
|---|---|
| Provider Enumeration Date | 2007-06-29 |
| Last Updated Date | 2016-01-11 |
Provider Mailing Address Detail
| Address | 10150 Highland Manor Dr |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336109713 |
| Phone Number | 8136822401 |
| Fax Number | 8136822402 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | DN11407 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DN11407 | FL | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Terry Michael Kelly by the Centers for Medicare & Medicaid Services?
The Terry Michael Kelly has been assigned the NPI (National Provider Identifier) 1750588059. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Terry Michael Kelly is located?
The Terry Michael Kelly is situated at the following address: 10150 Highland Manor Dr, Tampa, FL, 336109713.
What is Terry Michael Kelly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Terry Michael Kelly's area of specialization is Prosthodontics, and the corresponding taxonomy code that categorizes this field of practice is 1223P0700X.
When did the Terry Michael Kelly receive its 1750588059?
The Terry Michael Kelly was issued its 1750588059 on 2007-06-29, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Terry Michael Kelly last refreshed?
The information related to the Terry Michael Kelly, including its address, specialty, and other relevant details, was last updated on 2016-01-11.