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Jennifer Ruth Kelley, DDS
General Practice Dentistry in Granville, New York
NPI 1780678748

Jennifer Ruth Kelley is a General Practice Dentistry based in Granville, NY and is specialized in General Practice. Jennifer Ruth Kelley practices in Granville, NY and has the professional credentials of DDS. The NPI Number for Jennifer Ruth Kelley is 1780678748 and holds a License No. 04287 (New York).

The current practice location address for Jennifer Ruth Kelley is 89 North St, Granville, NY and can be reached out via phone at 518-642-2111 and via fax at 518-642-2891.

Location: 89 North St, Granville, NY, 12832-1138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780678748
Provider Name
Jennifer Ruth Kelley
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
89 North St, Granville, NY, 12832-1138
Phone Number
518-642-2111
Fax Number
518-642-2891
Provider Enumeration Date
09/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100-3247 05 VT
01196652 05 NY
institution
Provider Business Practice Location Address Details
Address
89 North St
City
Granville
State
New York
Zip
12832-1138
Phone Number
518-642-2111
Fax Number
518-642-2891
person
Provider Business Mailing Address Details
Address
89 North St
City
Granville
State
New York
Zip
12832-1138
Phone Number
518-642-2111
Fax Number
518-642-2891
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
04287 (New York)
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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