Michael Gaylor Kelley in Indianapolis - Orthodontics And Dentofacial Orthopedics

Michael Gaylor Kelley - NPI 1316053770

Michael Gaylor Kelley is a Orthodontics And Dentofacial Orthopedics in Indianapolis, Indiana. Michael Gaylor Kelley practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Michael Gaylor Kelley is 1316053770. The last update date is 2007-07-08.

Michael Gaylor Kelley's current location address is 6296 Rucker Rd, Indianapolis, Indiana. You can contact this provider via phone number 3172535400 and fax number 3172549156. The mailing address for Michael Gaylor Kelley is 6296 Rucker Rd, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Gaylor Kelley
Address 6296 Rucker Rd, Indianapolis, Indiana
Phone Number 3172535400
Fax Number 3172549156
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1316053770
Provider Enumeration Date 2006-08-21
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6296 Rucker Rd
City Indianapolis
State Indiana (IN)
Post Code 462204852
Phone Number 3172535400
Fax Number 3172549156

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 12007484A
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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FAQs about Michael Gaylor Kelley

What is the unique 10-digit identifier code assigned to Michael Gaylor Kelley by the Centers for Medicare & Medicaid Services?

The Michael Gaylor Kelley has been issued the NPI (National Provider Identifier) 1316053770 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 Michael Gaylor Kelley's facilities are geographically located?

The facilities of Michael Gaylor Kelley are physically situated at the following location: 6296 Rucker Rd, Indianapolis, IN, 462204852.

What is Michael Gaylor Kelley's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael Gaylor Kelley is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that categorizes this field of expertise is 1223X0400X.

On what date did Michael Gaylor Kelley receive its 1316053770 assignment from the Centers for Medicare & Medicaid Services?

The Michael Gaylor Kelley was assigned its 1316053770 on 2006-08-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Michael Gaylor Kelley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Michael Gaylor Kelley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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