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Dr. David Randolph Kelly, DDS
General Practice Dentistry in Bristol, Virginia
NPI 1124048491

David Randolph Kelly is a General Practice Dentistry based in Bristol, VA and is specialized in General Practice. David Randolph Kelly practices in Bristol, VA and has the professional credentials of DDS. The NPI Number for David Randolph Kelly is 1124048491 and holds a License No. 0401006167 (Virginia).

The current practice location address for David Randolph Kelly is 1941 Euclid Ave, Bristol, VA and can be reached out via phone at 276-669-0112 and via fax at 276-669-6922.

Location: 1941 Euclid Ave, Bristol, VA, 24201-3607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124048491
Provider Name
David Randolph Kelly
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1941 Euclid Ave, Bristol, VA, 24201-3607
Phone Number
276-669-0112
Fax Number
276-669-6922
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
021225 01 ANTHEM
0064919 01 TN BCBS
9178719 05 VA
institution
Provider Business Practice Location Address Details
Address
1941 Euclid Ave
City
Bristol
State
Virginia
Zip
24201-3607
Phone Number
276-669-0112
Fax Number
276-669-6922
person
Provider Business Mailing Address Details
Address
1941 Euclid Ave
City
Bristol
State
Virginia
Zip
24201-3607
Phone Number
276-669-0112
Fax Number
276-669-6922
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
0401006167 (Virginia)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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