Robert Kelleher in Folsom - Orthodontics And Dentofacial Orthopedics
Robert Kelleher - NPI 1053513531
Robert Kelleher is a Orthodontics And Dentofacial Orthopedics in Folsom, California. Robert Kelleher practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Robert Kelleher is 1053513531. The last update date is 2007-07-08.
Robert Kelleher's current location address is 13385 Folsom Blvd, Folsom, California. You can contact this provider via phone number 9169858420 and fax number 9169856109. The mailing address for Robert Kelleher is 13385 Folsom Blvd, Folsom, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Kelleher |
|---|---|
| Address | 13385 Folsom Blvd, Folsom, California |
| Phone Number | 9169858420 |
| Fax Number | 9169856109 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1053513531 |
|---|---|
| Provider Enumeration Date | 2007-06-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13385 Folsom Blvd |
|---|---|
| City | Folsom |
| State | California (CA) |
| Post Code | 956308004 |
| Phone Number | 9169858420 |
| Fax Number | 9169856109 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | J 28736 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the Robert Kelleher's unique identification number?
The Robert Kelleher has been assigned the NPI (National Provider Identifier) Number 1053513531 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Robert Kelleher is physically located?
The Robert Kelleher is physically situated at the following address: 13385 Folsom Blvd, Folsom, CA, 956308004.
What is Robert Kelleher's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Robert Kelleher is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053513531 to Robert Kelleher?
The Centers for Medicare & Medicaid Services assigned the 1053513531 to Robert Kelleher on 2007-06-05.
As of what date were the Robert Kelleher's details last updated?
The information pertaining to the Robert Kelleher, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1467458307
Address: 324 Datura St, West Palm Beach, FL