Organization · Type 2 NPI

Diane C Kelly Dmd, PC

Pediatric Dentistry · Gainesville, GA

NPI number 1740452465 Active

Practice location

655 Jesse Jewell Pkwy SE
Gainesville, GA 30501

Call (770) 539-9110 Map

Fax (678) 714-8388

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XDNO12082 (GA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1740452465

Diane C Kelly Dmd, PC's National Provider Identifier is 1740452465, issued on Apr 2, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Gainesville, GA. The record was last updated on Aug 19, 2008.