Individual provider · Type 1 NPI
Mark T. Kelly
General Practice Dentistry · Oklahoma City, OK
NPI number
1578656393
Active
Practice location
3637 NW 39th St
Oklahoma City, OK 73112-6309
Mailing address
415 N Grand Ave
Pueblo, CO 81003-3111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5869 (OK) |
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.
2 other providers at this address
Other general practice dentistry providers in Oklahoma City
- Phuong Tran, DMDGeneral Practice Dentistry Oklahoma City, OK NPI 1003468653
- Jonathan R. Jeffery, DDSGeneral Practice Dentistry Oklahoma City, OK NPI 1013067826
- Casey Williams, DMDGeneral Practice Dentistry Oklahoma City, OK NPI 1013521087
- My Thanh Dao Vandenberg, DDSGeneral Practice Dentistry Oklahoma City, OK NPI 1023238110
- Kenneth S. Coy, DDSGeneral Practice Dentistry Oklahoma City, OK NPI 1033171244
- Liberta Gonzales Williams, DDSGeneral Practice Dentistry Oklahoma City, OK NPI 1033420880
- Shina Odejimi, DDSGeneral Practice Dentistry Oklahoma City, OK NPI 1033440649
- Patrick John Crowley, DDSGeneral Practice Dentistry Oklahoma City, OK NPI 1033556568
About NPI 1578656393
Mark T. Kelly's National Provider Identifier is 1578656393, issued on Oct 2, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Oklahoma City, OK. The record was last updated on Jul 9, 2007.