Brian J Kelleher Dds Pa in Raleigh - Dental

Brian J Kelleher Dds Pa - NPI 1427147875

Brian J Kelleher Dds Pa is a Dental in Raleigh, North Carolina. Brian J Kelleher Dds Pa practices all healthcare services and medical treatments related to Dental. The NPI Number for Brian J Kelleher Dds Pa is 1427147875. The last update date is 2020-08-22.

Brian J Kelleher Dds Pa's current location address is 2609 Glenwood Ave, Raleigh, North Carolina. You can contact this provider via phone number 9197824444 and fax number 9197818118. The mailing address for Brian J Kelleher Dds Pa is 2609 Glenwood Ave, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Brian J Kelleher Dds Pa
Address 2609 Glenwood Ave, Raleigh, North Carolina
Phone Number 9197824444
Fax Number 9197818118
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kelleher J Brian
Credentials D.D.S.
Telephone Number 9197824444

NPI Number Detail

NPI Number 1427147875
Provider Enumeration Date 2006-10-12
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2609 Glenwood Ave
City Raleigh
State North Carolina (NC)
Post Code 276081003
Phone Number 9197824444
Fax Number 9197818118

Provider's Primary Taxonomy Detail

Speciality Dental
Taxonomy 261Qd0000X
Licence No 1756
Definition:
Provides general and specialized dental care and oral surgery.

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FAQs about Brian J Kelleher Dds Pa

What is the unique provider identifier assigned to Brian J Kelleher Dds Pa?

The Brian J Kelleher Dds Pa has been issued the NPI (National Provider Identifier) 1427147875 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Brian J Kelleher Dds Pa is geographically located?

The Brian J Kelleher Dds Pa is physically situated at the following location: 2609 Glenwood Ave, Raleigh, NC, 276081003.

What is Brian J Kelleher Dds Pa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Brian J Kelleher Dds Pa's specialized field of practice is Dental, and the corresponding taxonomy code that categorizes this area of specialization is 261Qd0000X.

On what date did Brian J Kelleher Dds Pa receive its 1427147875 assignment from the Centers for Medicare & Medicaid Services?

The Brian J Kelleher Dds Pa was assigned its 1427147875 on 2006-10-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Brian J Kelleher Dds Pa's information last updated?

The Brian J Kelleher Dds Pa's information was last updated on 2020-08-22.

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