John Patrick Wa Kelly in New Haven - Oral And Maxillofacial Surgery

John Patrick Wa Kelly - NPI 1386685022

John Patrick Wa Kelly is a Oral And Maxillofacial Surgery in New Haven, Connecticut. John Patrick Wa Kelly practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for John Patrick Wa Kelly is 1386685022. The last update date is 2007-10-12.

John Patrick Wa Kelly's current location address is 1450 Chapel St, New Haven, Connecticut. You can contact this provider via phone number 2037893156 and fax number 2037893954. The mailing address for John Patrick Wa Kelly is 1450 Chapel St, New Haven, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name John Patrick Wa Kelly
Address 1450 Chapel St, New Haven, Connecticut
Phone Number 2037893156
Fax Number 2037893954
Sole Proprietor N
Credentials M.D., D.M.

NPI Number Detail

NPI Number 1386685022
Provider Enumeration Date 2006-06-10
Last Updated Date 2007-10-12

Provider Mailing Address Detail

Address 1450 Chapel St
City New Haven
State Connecticut (CT)
Post Code 65114405
Phone Number 2037893156
Fax Number 2037893954

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 8783
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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FAQs about John Patrick Wa Kelly

Could you provide the complete physical address where John Patrick Wa Kelly is located?

The John Patrick Wa Kelly is situated at the following address: 1450 Chapel St, New Haven, CT, 65114405.

Could you kindly provide the complete physical address where John Patrick Wa Kelly's facilities are geographically located?

The facilities of John Patrick Wa Kelly are physically situated at the following location: 1450 Chapel St, New Haven, CT, 65114405.

What is John Patrick Wa Kelly's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The John Patrick Wa Kelly's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.

On what date did John Patrick Wa Kelly receive its 1386685022 assignment from the Centers for Medicare & Medicaid Services?

The John Patrick Wa Kelly was assigned its 1386685022 on 2006-06-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to John Patrick Wa Kelly most recently updated or refreshed?

The details pertaining to the John Patrick Wa Kelly, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-12.

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