Joseph T Kelly, DDS PC

NPI #1952761819 in Boonville, Missouri

Provider Information

NPI Number: 1952761819
Entity Type: Organization
Organization Name: Joseph T Kelly, DDS PC
Primary Specialty: Dentist
Enumeration Date: Mar 4, 2016
Last Updated: Mar 4, 2016

Practice Location

Address: 1480 W ASHLEY RD
City: Boonville
State: Missouri
ZIP Code: 65233-2141
Phone: (660) 882-7522

Authorized Official

Name: DR. JOSEPH THOMAS KELLY, DDS
Title: PRESIDENT-OWNER
Phone: (660) 882-7522

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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