Individual provider · Type 1 NPI
Derek Kelly, DMD
Oral and Maxillofacial Surgery (Dentist) · Bridgeville, PA
Practice location
1597 Washington Pike Ste A5
Bridgeville, PA 15017-2881
Fax (412) 279-7119
Mailing address
926 Great Pond Dr, Suite 2003
Altamonte Springs, FL 32714-7244
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DS024337 (PA) |
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.
2 other providers at this address
About NPI 1306808597
Derek Kelly, DMD's National Provider Identifier is 1306808597, issued on Apr 4, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bridgeville, PA. The record was last updated on Dec 12, 2013.