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Dr. Terence Patrick Kelly, DDS
Student in an Organized Health Care Education/Training Program in Youngstown, Ohio
NPI 1508927757

Terence Patrick Kelly is a Student in an Organized Health Care Education/Training Program based in Dublin, OH. Terence Patrick Kelly practices in Youngstown, OH and has the professional credentials of DDS. The NPI Number for Terence Patrick Kelly is 1508927757 and holds a License No. 30-017132 (Ohio).

The current practice location address for Terence Patrick Kelly is 500 Gypsy Ln, Youngstown, OH and can be reached out via phone at 330-884-1000.

Location: 500 Gypsy Ln, Youngstown, OH, 43017-3424
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508927757
Provider Name
Terence Patrick Kelly
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
500 Gypsy Ln, Youngstown, OH, 43017-3424
Phone Number
330-884-1000
Fax Number
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2073232 05 OH
institution
Provider Business Practice Location Address Details
Address
500 Gypsy Ln
City
Youngstown
State
Ohio
Zip
44504
Phone Number
330-884-1000
Fax Number
person
Provider Business Mailing Address Details
Address
500 Gypsy Ln
City
Youngstown
State
Ohio
Zip
44504
Phone Number
330-884-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
57.246804 (Ohio)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
30-017132 (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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