R. Kelly Dds, Inc. is a Dental in Orange, California. R. Kelly Dds, Inc. practices all healthcare services and medical treatments related to Dental. The NPI Number for R. Kelly Dds, Inc. is 1013116656. The last update date is 2007-07-13.
R. Kelly Dds, Inc.'s current location address is 951 N Tustin St, Orange, California. You can contact this provider via phone number 7145323331 and fax number 7145325886. The mailing address for R. Kelly Dds, Inc. is 951 N Tustin St, Orange, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | R. Kelly Dds, Inc. |
|---|---|
| Address | 951 N Tustin St, Orange, California |
| Phone Number | 7145323331 |
| Fax Number | 7145325886 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Kelly A. Russell |
| Credentials | DDS |
| Telephone Number | 7145323331 |
NPI Number Detail
| NPI Number | 1013116656 |
|---|---|
| Provider Enumeration Date | 2007-07-13 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 951 N Tustin St |
|---|---|
| City | Orange |
| State | California (CA) |
| Post Code | 928675902 |
| Phone Number | 7145323331 |
| Fax Number | 7145325886 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 43284 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique 10-digit identification code issued to R. Kelly Dds, Inc. by the Centers for Medicare & Medicaid Services?
The R. Kelly Dds, Inc. has been assigned the NPI (National Provider Identifier) 1013116656 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of R. Kelly Dds, Inc.?
The R. Kelly Dds, Inc. is situated at 951 N Tustin St, in the city of Orange, state of CA, with the zip code 928675902.
What is the area of specialization for R. Kelly Dds, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for R. Kelly Dds, Inc. is Dental, and the corresponding taxonomy code that categorizes this area of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1013116656 to R. Kelly Dds, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1013116656 to R. Kelly Dds, Inc. on 2007-07-13.
As of what date were the R. Kelly Dds, Inc.'s details last updated?
The information pertaining to the R. Kelly Dds, Inc., including its address, specialty, and other details, was most recently updated on 2007-07-13.
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