Active NPIIndividual provider

Dr. Shawn P Kelly, DMD

Dentist, General Practice in Somerdale, New Jersey

NPI Number1013082189
Practice location
13 Somerdale Sq, Somerdale, NJ 08083-1345
Fax
856-566-6012
Last updated
May 29, 2013

Shawn Patrick Kelly is a Dentist, General Practice based in Somerdale, NJ. Shawn Patrick Kelly practices in Somerdale, NJ and has the professional credentials of DMD. The NPI Number for Shawn Patrick Kelly is 1013082189 and holds a License No. 22DI02260700 (NJ). The current practice location address for Shawn Patrick Kelly is 13 Somerdale Sq, Somerdale, NJ 08083-1345 and can be reached out via phone at 856-566-6969 and via fax at 856-566-6012.

Provider Profile Details

NPI Number
1013082189
Provider Name
Shawn Patrick Kelly
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
13 Somerdale Sq, Somerdale, NJ 08083-1345
Phone Number
856-566-6969
Fax Number
856-566-6012
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
November 22, 2006
Last Update Date
May 29, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
13 Somerdale Sq
Somerdale, NJ 08083-1345
Zip
08083-1345
Phone Number
856-566-6969
Fax Number
856-566-6012
Somerdale, NJ 08083Get directions →

Provider Business Mailing Address Details

Address
182 White Cedar Dr
Sicklerville, NJ 08081-3409
City
Sicklerville
State
NJ
Zip
08081-3409
Phone Number
609-707-1032

License Information

License Number
22DI02260700
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Shawn P Kelly, DMD?

The NPI number of Dr. Shawn P Kelly, DMD is 1013082189. It was assigned on November 22, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Shawn P Kelly, DMD?

Dr. Shawn P Kelly, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02260700.

Where does Dr. Shawn P Kelly, DMD practice?

The practice location is 13 Somerdale Sq, Somerdale, NJ 08083-1345. The office can be reached at 856-566-6969 (phone) or 856-566-6012 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013082189 directly on the NPPES registry website.

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