DR. Matthew Kelly, D.D.S.

NPI #1033465042 in Millstadt, Illinois

Provider Information

NPI Number: 1033465042
Entity Type: Individual
Name: DR. Matthew Kelly, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.D.S.
Enumeration Date: Jul 27, 2012
Last Updated: Oct 1, 2014

Practice Location

Address: 9 E VAN BUREN ST
City: Millstadt
State: Illinois
ZIP Code: 62260-2009
Phone: (618) 476-7828

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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Organizations

Provider Name	Specialty	City
Matthew J. Kelly, Dds, LLC	Dentist - General Practice	Millstadt	AI Deep Dive

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