Individual provider · Type 1 NPI

Stephen S. Kelly, DMD

Oral and Maxillofacial Surgery (Dentist) · Grand Junction, CO

NPI number 1528053204 Active

Practice location

2530 N 8th St, Suite 103
Grand Junction, CO 81501-8857

Fax (970) 243-4438

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X104240 (CO)

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 1528053204

Stephen S. Kelly, DMD's National Provider Identifier is 1528053204, issued on Sep 19, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Grand Junction, CO. The record was last updated on Jun 3, 2008.