Individual provider · Type 1 NPI

Shaunda Elyse Kelly, MD, DMD

Oral and Maxillofacial Surgery (Dentist) · Birmingham, AL

NPI number 1659540508 Active

Practice location

2000 6th Ave S
Birmingham, AL 35233-2110

Mailing address

PO Box 55310
Birmingham, AL 35255-5310

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X5395 (AL)

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 1659540508

Shaunda Elyse Kelly, MD, DMD's National Provider Identifier is 1659540508, issued on Feb 25, 2008. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Birmingham, AL. The record was last updated on Mar 14, 2012.