Individual provider · Type 1 NPI

Samuel Robert Kelly

General Practice Dentistry · Salem, OR

NPI number 1174018022 Active

Practice location

3380 Astoria Way NE
Salem, OR 97305-1667

Call (971) 600-0211 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD10822 (OR)

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 1174018022

Samuel Robert Kelly's National Provider Identifier is 1174018022, issued on Jun 23, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Salem, OR. The record was last updated on Jun 23, 2018.