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Shaunda Elyse Kelly, MD,DMD
Oral and Maxillofacial Surgery (Dentist) in Birmingham, Alabama
NPI 1659540508

Shaunda Elyse Kelly is a Oral and Maxillofacial Surgery (Dentist) based in Birmingham, AL and is specialized in Oral and Maxillofacial Surgery. Shaunda Elyse Kelly practices in Birmingham, AL and has the professional credentials of MD,DMD. The NPI Number for Shaunda Elyse Kelly is 1659540508 and holds a License No. 5395 (Alabama).

The current practice location address for Shaunda Elyse Kelly is 2000 6Th Ave S, Birmingham, AL and can be reached out via phone at 205-934-9999. You can also correspond with Shaunda Elyse Kelly through the mailing address at PO BOX 55310, BIRMINGHAM, AL - 35255-5310 (mailing address contact number: 205-731-9701).

Location: 2000 6Th Ave S, Birmingham, AL, 35255-5310
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Provider Profile Details
NPI Number
1659540508
Provider Name
Shaunda Elyse Kelly
Credential
MD,DMD
Provider Entity Type
Individual
Gender
Female
Address
2000 6Th Ave S, Birmingham, AL, 35255-5310
Phone Number
205-934-9999
Fax Number
Provider Enumeration Date
02/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
051118224 01 AL BCBS
130496 05 AL
Z17060 01 AL VIVA
130492 05 AL
01281210 05 MS
130497 05 AL
051118219 01 AL BCBS
051118223 01 AL BCBS
051118226 01 AL BCBS
130494 05 AL
051118221 01 AL BCBS
130495 05 AL
institution
Provider Business Practice Location Address Details
Address
2000 6Th Ave S
City
State
Zip
35233-2110
Phone Number
205-934-9999
Fax Number
person
Provider Business Mailing Address Details
Address
2000 6Th Ave S
City
State
Zip
35233-2110
Phone Number
205-934-9999
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
5395 (Alabama)
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.
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