Individual provider · Type 1 NPI

Edward T. Kelly Iv, DMD

General Practice Dentistry · Hartford, CT

NPI number 1124315957 Active

Practice location

114 Woodland St
Hartford, CT 06105-1208

Fax (860) 714-8005

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X010536 (CT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1124315957

Edward T. Kelly Iv, DMD's National Provider Identifier is 1124315957, issued on Jun 30, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Hartford, CT. The record was last updated on Aug 23, 2013.