Active NPIIndividual providerSole proprietor

W D Kelly, DMD

Dentist, Oral and Maxillofacial Surgery in Worcester, Massachusetts

NPI Number1326041385
Practice location
59 Quinsigamond Ave, Worcester, MA 01610-1867
Fax
508-756-2923
Last updated
February 17, 2012

W David Kelly is a Dentist, Oral and Maxillofacial Surgery based in Worcester, MA. W David Kelly practices in Worcester, MA and has the professional credentials of DMD. The NPI Number for W David Kelly is 1326041385 and holds a License No. 12222 (MA). The current practice location address for W David Kelly is 59 Quinsigamond Ave, Worcester, MA 01610-1867 and can be reached out via phone at 508-799-2550 and via fax at 508-756-2923.

Provider Profile Details

NPI Number
1326041385
Provider Name
W David Kelly
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
59 Quinsigamond Ave, Worcester, MA 01610-1867
Phone Number
508-799-2550
Fax Number
508-756-2923
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
May 24, 2005
Last Update Date
February 17, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
59 Quinsigamond Ave
Worcester, MA 01610-1867
Zip
01610-1867
Phone Number
508-799-2550
Fax Number
508-756-2923
Worcester, MA 01610Get directions →

Provider Business Mailing Address Details

Address
59 Quinsigamond Ave
Worcester, MA 01610-1867
City
Worcester
State
MA
Zip
01610-1867
Phone Number
508-799-2550
Fax Number
508-756-2923

License Information

License Number
12222
License State
MA
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · 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 W D Kelly, DMD?

The NPI number of W D Kelly, DMD is 1326041385. It was assigned on May 24, 2005 and is currently active in the NPPES registry.

What is the specialty of W D Kelly, DMD?

W D Kelly, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in MA under license number 12222.

Where does W D Kelly, DMD practice?

The practice location is 59 Quinsigamond Ave, Worcester, MA 01610-1867. The office can be reached at 508-799-2550 (phone) or 508-756-2923 (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 1326041385 directly on the NPPES registry website.

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