Active NPIIndividual provider

Dr. Justine R Kelley, DMD

Dentist, General Practice in Brookline, Massachusetts

NPI Number1447254966
Practice location
1540 Beacon St, Brookline, MA 02446-2215
Fax
—
Last updated
September 28, 2007

Justine R Kelley is a Dentist, General Practice based in Brookline, MA. Justine R Kelley practices in Brookline, MA and has the professional credentials of DMD. The NPI Number for Justine R Kelley is 1447254966 and holds a License No. 21171 (MA). The current practice location address for Justine R Kelley is 1540 Beacon St, Brookline, MA 02446-2215 and can be reached out via phone at 617-738-1950.

Provider Profile Details

NPI Number
1447254966
Provider Name
Justine R Kelley
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1540 Beacon St, Brookline, MA 02446-2215
Phone Number
617-738-1950
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Other Names
-- Justine R Kelley, DMD (Other Name)
Provider Enumeration Date
June 13, 2005
Last Update Date
September 28, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1540 Beacon St
Brookline, MA 02446-2215
Zip
02446-2215
Phone Number
617-738-1950
Brookline, MA 02446Get directions →

Provider Business Mailing Address Details

Address
4 Sequoia Dr
Wilmington, MA 01887-2578
City
Wilmington
State
MA
Zip
01887-2578

License Information

License Number
21171
License State
MA
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. Justine R Kelley, DMD?

The NPI number of Dr. Justine R Kelley, DMD is 1447254966. It was assigned on June 13, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Justine R Kelley, DMD?

Dr. Justine R Kelley, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 21171.

Where does Dr. Justine R Kelley, DMD practice?

The practice location is 1540 Beacon St, Brookline, MA 02446-2215. The office can be reached at 617-738-1950 (phone).

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 1447254966 directly on the NPPES registry website.

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