Organization · Type 2 NPI

Kelly Dental LLC

Dental Clinic/Center · Springfield, MO

NPI number 1922435148 Active

Practice location

1655 S. Enterprise Ave Ste. A-3
Springfield, MO 65804

Call (417) 881-1213 Map

Fax (417) 877-8156

Mailing address

1655 S Enterprise Ave Ste A3
Springfield, MO 65804-1864

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000X2013017374 (MO)

Dental Clinic/Center: Definition to come...

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About NPI 1922435148

Kelly Dental LLC's National Provider Identifier is 1922435148, issued on Oct 2, 2013. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Springfield, MO. The record was last updated on Oct 2, 2013.