person
Mark T Kelly
General Practice Dentistry in Oklahoma City, Oklahoma
NPI 1578656393

Mark T Kelly is a General Practice Dentistry based in Pueblo, OK and is specialized in General Practice. Mark T Kelly practices in Oklahoma City, OK. The NPI Number for Mark T Kelly is 1578656393 and holds a License No. 5869 (Oklahoma).

The current practice location address for Mark T Kelly is 3637 Nw 39Th St, Oklahoma City, OK and can be reached out via phone at 405-942-7755. You can also correspond with Mark T Kelly through the mailing address at 415 N GRAND AVE, PUEBLO, CO - 81003-3111 (mailing address contact number: 719-546-3333).

Location: 3637 Nw 39Th St, Oklahoma City, OK, 81003-3111
person
Provider Profile Details
NPI Number
1578656393
Provider Name
Mark T Kelly
Credential
Provider Entity Type
Individual
Gender
Male
Address
3637 Nw 39Th St, Oklahoma City, OK, 81003-3111
Phone Number
405-942-7755
Fax Number
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1888656 01 OK UNITED CONCORDIA
200088150A 05 OK
institution
Provider Business Practice Location Address Details
Address
3637 Nw 39Th St
City
State
Zip
73112-6309
Phone Number
405-942-7755
Fax Number
person
Provider Business Mailing Address Details
Address
3637 Nw 39Th St
City
State
Zip
73112-6309
Phone Number
405-942-7755
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
5869 (Oklahoma)
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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