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Dr. Jacob Dean Kelly, DDS
General Practice Dentistry in Roseville, California
NPI 1457769457

Jacob Dean Kelly is a General Practice Dentistry based in Roseville, CA and is specialized in General Practice. Jacob Dean Kelly practices in Roseville, CA and has the professional credentials of DDS. The NPI Number for Jacob Dean Kelly is 1457769457 and holds a License No. 63699 (California).

The current practice location address for Jacob Dean Kelly is 2360 Professional Dr Ste 100, Roseville, CA and can be reached out via phone at 916-782-9479 and via fax at 916-782-9479.

Location: 2360 Professional Dr Ste 100, Roseville, CA, 95661-7782
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457769457
Provider Name
Jacob Dean Kelly
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2360 Professional Dr Ste 100, Roseville, CA, 95661-7782
Phone Number
916-782-9479
Fax Number
916-782-9479
Provider Enumeration Date
07/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2360 Professional Dr Ste 100
City
Roseville
State
California
Zip
95661-7782
Phone Number
916-782-9479
Fax Number
916-782-9479
person
Provider Business Mailing Address Details
Address
2360 Professional Dr Ste 100
City
Roseville
State
California
Zip
95661-7782
Phone Number
916-782-9479
Fax Number
916-782-9479
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
63699 (California)
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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