Organization · Type 2 NPI

Andrew W Kelly DDS PLLC

Dental Clinic/Center · Clemmons, NC

NPI number 1700203247 Active

Practice location

4164 Clemmons Rd
Clemmons, NC 27012-7520

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X7350 (NC)

Dental Clinic/Center: Definition to come...

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About NPI 1700203247

Andrew W Kelly DDS PLLC's National Provider Identifier is 1700203247, issued on Mar 22, 2014. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Clemmons, NC. The record was last updated on Mar 22, 2014.