W David Kelly in Worcester - Oral And Maxillofacial Surgery
W David Kelly - NPI 1326041385
W David Kelly is a Oral And Maxillofacial Surgery in Worcester, Massachusetts. W David Kelly practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for W David Kelly is 1326041385. The last update date is 2012-02-17.
W David Kelly's current location address is 59 Quinsigamond Ave, Worcester, Massachusetts. You can contact this provider via phone number 5087992550 and fax number 5087562923. The mailing address for W David Kelly is 59 Quinsigamond Ave, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | W David Kelly |
|---|---|
| Address | 59 Quinsigamond Ave, Worcester, Massachusetts |
| Phone Number | 5087992550 |
| Fax Number | 5087562923 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1326041385 |
|---|---|
| Provider Enumeration Date | 2005-05-24 |
| Last Updated Date | 2012-02-17 |
Provider Mailing Address Detail
| Address | 59 Quinsigamond Ave |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 161018670 |
| Phone Number | 5087992550 |
| Fax Number | 5087562923 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | 12222 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique provider identifier assigned to W David Kelly?
The W David Kelly has been issued the NPI (National Provider Identifier) 1326041385 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the W David Kelly located?
The W David Kelly is located at 59 Quinsigamond Ave, Worcester, MA 161018670.
What is W David Kelly's specialized field of practice, and what is the corresponding taxonomy classification code?
The W David Kelly's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.
On what date did W David Kelly receive its 1326041385 assignment from the Centers for Medicare & Medicaid Services?
The W David Kelly was assigned its 1326041385 on 2005-05-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to W David Kelly most recently updated or revised?
The details related to W David Kelly, including its address, specialty, and other relevant information, were last updated or revised on 2012-02-17.