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Derek Kelly, DMD
Oral and Maxillofacial Surgery (Dentist) in Bridgeville, Pennsylvania
NPI 1306808597

Derek Kelly is a Oral and Maxillofacial Surgery (Dentist) based in Altamonte Springs, PA and is specialized in Oral and Maxillofacial Surgery. Derek Kelly practices in Bridgeville, PA and has the professional credentials of DMD. The NPI Number for Derek Kelly is 1306808597 and holds a License No. DS024337 (Pennsylvania).

The current practice location address for Derek Kelly is 1597 Washington Pike Ste A5, Bridgeville, PA and can be reached out via phone at 412-279-4800 and via fax at 412-279-7119.

Location: 1597 Washington Pike Ste A5, Bridgeville, PA, 32714-7244
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306808597
Provider Name
Derek Kelly
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1597 Washington Pike Ste A5, Bridgeville, PA, 32714-7244
Phone Number
412-279-4800
Fax Number
412-279-7119
Provider Enumeration Date
04/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0011290810017 05 PA
0011290810009 05 PA
0011290810011 05 PA
0011290810018 05 PA
0011290810021 05 PA
0011290810019 05 PA
institution
Provider Business Practice Location Address Details
Address
1597 Washington Pike Ste A5
City
Bridgeville
State
Pennsylvania
Zip
15017-2881
Phone Number
412-279-4800
Fax Number
412-279-7119
person
Provider Business Mailing Address Details
Address
1597 Washington Pike Ste A5
City
Bridgeville
State
Pennsylvania
Zip
15017-2881
Phone Number
412-279-4800
Fax Number
412-279-7119
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
DS024337 (Pennsylvania)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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