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Edward T Kelly IV, DMD
General Practice Dentistry in Hartford, Connecticut
NPI 1124315957

Edward T Kelly IV is a General Practice Dentistry based in Hartford, CT and is specialized in General Practice. Edward T Kelly IV practices in Hartford, CT and has the professional credentials of DMD. The NPI Number for Edward T Kelly IV is 1124315957 and holds a License No. 010536 (Connecticut).

The current practice location address for Edward T Kelly IV is 114 Woodland St, Hartford, CT and can be reached out via phone at 860-714-4995 and via fax at 860-714-8005.

Location: 114 Woodland St, Hartford, CT, 06105-1208
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124315957
Provider Name
Edward T Kelly IV
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
114 Woodland St, Hartford, CT, 06105-1208
Phone Number
860-714-4995
Fax Number
860-714-8005
Provider Enumeration Date
06/30/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004011201 05 CT
institution
Provider Business Practice Location Address Details
Address
114 Woodland St
City
Hartford
State
Connecticut
Zip
06105-1208
Phone Number
860-714-4995
Fax Number
860-714-8005
person
Provider Business Mailing Address Details
Address
114 Woodland St
City
Hartford
State
Connecticut
Zip
06105-1208
Phone Number
860-714-4995
Fax Number
860-714-8005
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
010536 (Connecticut)
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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