Individual provider · Type 1 NPI

Kevin Erick Kelleher, D.M.D

Orthodontics and Dentofacial Orthopedics Dentistry · Midlothian, VA

NPI number 1265630404 Active

Practice location

2412 Colony Crossing Pl
Midlothian, VA 23112-4281

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X0401411884 (VA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1265630404

Kevin Erick Kelleher, D.M.D's National Provider Identifier is 1265630404, issued on Jul 10, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Midlothian, VA. The record was last updated on Dec 20, 2012.