Michael R Kelson, Dds, Pllc in Olympia - Oral And Maxillofacial Surgery
Michael R Kelson, Dds, Pllc - NPI 1699989749
Michael R Kelson, Dds, Pllc is a Oral And Maxillofacial Surgery in Olympia, Washington. Michael R Kelson, Dds, Pllc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Michael R Kelson, Dds, Pllc is 1699989749. The last update date is 2020-08-22.
Michael R Kelson, Dds, Pllc's current location address is 3624 Ensign Rd Ne, Olympia, Washington. You can contact this provider via phone number 3609235412. The mailing address for Michael R Kelson, Dds, Pllc is 3624 Ensign Rd Ne, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Michael R Kelson, Dds, Pllc |
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Address | 3624 Ensign Rd Ne, Olympia, Washington |
Phone Number | 3609235412 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEMBER |
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Authorized Official Name | Kelson Ross Michael |
Credentials | D.D.S. |
Telephone Number | 3609235412 |
NPI Number Detail
NPI Number | 1699989749 |
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Provider Enumeration Date | 2007-05-09 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 3624 Ensign Rd Ne |
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City | Olympia |
State | Washington (WA) |
Post Code | 985065074 |
Phone Number | 3609235412 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Oral And Maxillofacial Surgery |
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Taxonomy | 1223S0112X |
Licence No | 7100 |
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 10-digit identification code assigned to Michael R Kelson, Dds, Pllc by the Centers for Medicare & Medicaid Services?
The Michael R Kelson, Dds, Pllc has been issued the NPI (National Provider Identifier) 1699989749, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Michael R Kelson, Dds, Pllc is physically located?
The Michael R Kelson, Dds, Pllc is physically situated at the following address: 3624 Ensign Rd Ne, Olympia, WA, 985065074.
What is the Michael R Kelson, Dds, Pllc's area of specialization and corresponding taxonomy classification?
The Michael R Kelson, Dds, Pllc's specialty field is Oral And Maxillofacial Surgery, and it falls under the taxonomy code 1223S0112X, which categorizes healthcare providers based on their specialties.
When did the Michael R Kelson, Dds, Pllc receive its 1699989749?
The Michael R Kelson, Dds, Pllc was issued its 1699989749 on 2007-05-09, which is the date when the organization was assigned this unique identifier.
When was the information related to Michael R Kelson, Dds, Pllc most recently updated or refreshed?
The details pertaining to the Michael R Kelson, Dds, Pllc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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