Active NPIIndividual provider

Rebecca M Kelleher, DDS

Dentist, General Practice in Simsbury, Connecticut

NPI Number1952716466
Practice location
573 Hopmeadow St, Simsbury, CT 06070-2462
Fax
—
Last updated
December 10, 2018

Rebecca Mooar Kelleher is a Dentist, General Practice based in Simsbury, CT. Rebecca Mooar Kelleher practices in Simsbury, CT and has the professional credentials of DDS. The NPI Number for Rebecca Mooar Kelleher is 1952716466 and holds a License No. 11201 (CT). The current practice location address for Rebecca Mooar Kelleher is 573 Hopmeadow St, Simsbury, CT 06070-2462 and can be reached out via phone at 860-658-0010.

Provider Profile Details

NPI Number
1952716466
Provider Name
Rebecca Mooar Kelleher
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
573 Hopmeadow St, Simsbury, CT 06070-2462
Phone Number
860-658-0010
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
June 23, 2014
Last Update Date
December 10, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
573 Hopmeadow St
Simsbury, CT 06070-2462
Zip
06070-2462
Phone Number
860-658-0010
Simsbury, CT 06070Get directions →

Provider Business Mailing Address Details

Address
573 Hopmeadow St
Simsbury, CT 06070-2462
City
Simsbury
State
CT
Zip
06070-2462
Phone Number
860-658-0010

License Information

License Number (2)
11201
License State (2)
CT
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rebecca M Kelleher, DDS?

The NPI number of Rebecca M Kelleher, DDS is 1952716466. It was assigned on June 23, 2014 and is currently active in the NPPES registry.

What is the specialty of Rebecca M Kelleher, DDS?

Rebecca M Kelleher, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 11201.

Where does Rebecca M Kelleher, DDS practice?

The practice location is 573 Hopmeadow St, Simsbury, CT 06070-2462. The office can be reached at 860-658-0010 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952716466 directly on the NPPES registry website.

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