Individual provider · Type 1 NPI

Thomas Francis Kelly, DDS

Oral and Maxillofacial Surgery (Dentist) · Travis Afb, CA

NPI number 1013977008 Active

Practice location

101 Bodin St, 60th Dental Squadron
Travis Afb, CA 94535

Mailing address

3251 Corte Valencia
Fairfield, CA 94534

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X5546 (CT)

Oral and Maxillofacial Surgery (Dentist): 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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About NPI 1013977008

Thomas Francis Kelly, DDS's National Provider Identifier is 1013977008, issued on Mar 24, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Travis Afb, CA. The record was last updated on Jul 8, 2007.