Samuel R Kelly Dmd LLC

NPI #1386441541 in Salem, Oregon

Provider Information

NPI Number: 1386441541
Entity Type: Organization
Organization Name: Samuel R Kelly Dmd LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 26, 2025
Last Updated: Feb 26, 2025

Practice Location

Address: 3380 ASTORIA WAY NE
City: Salem
State: Oregon
ZIP Code: 97305-1667
Phone: (503) 588-7800

Authorized Official

Name: DR. SAMUEL ROBERT KELLY, DMD
Title: MEMBER
Phone: (503) 991-8897

Specialties & Taxonomy Codes

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

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