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Randall James Kelley, DMD
General Practice Dentistry in Provo, Utah
NPI 1538387154

Randall James Kelley is a General Practice Dentistry based in Sandy, UT and is specialized in General Practice. Randall James Kelley practices in Provo, UT and has the professional credentials of DMD. The NPI Number for Randall James Kelley is 1538387154 and holds a License No. 33052 (Utah).

The current practice location address for Randall James Kelley is 275 N 500 W, Provo, UT and can be reached out via phone at 801-374-5768 and via fax at 801-375-3598.

Location: 275 N 500 W, Provo, UT, 84093-2427
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538387154
Provider Name
Randall James Kelley
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
275 N 500 W, Provo, UT, 84093-2427
Phone Number
801-374-5768
Fax Number
801-375-3598
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
275 N 500 W
City
Provo
State
Utah
Zip
84601-3006
Phone Number
801-374-5768
Fax Number
801-375-3598
person
Provider Business Mailing Address Details
Address
275 N 500 W
City
Provo
State
Utah
Zip
84601-3006
Phone Number
801-374-5768
Fax Number
801-375-3598
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
33052 (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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