Individual provider · Type 1 NPI

Patrick Donovan Kelly, DDS

Oral and Maxillofacial Surgery (Dentist) · Maywood, IL

NPI number 1326304528 Active

Practice location

2160 S 1st Ave, Loyola University Medical Center
Maywood, IL 60153-3328

Call (708) 216-9000 Map

Fax (708) 327-3489

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X018001831 (IL)

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 1326304528

Patrick Donovan Kelly, DDS's National Provider Identifier is 1326304528, issued on Apr 2, 2012. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Maywood, IL. The record was last updated on Jul 2, 2012.