Individual
DR. SHAWN PATRICK KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13 SOMERDALE SQ, SOMERDALE, NJ 08083-1345
(856) 566-6969
(856) 566-6012
Mailing address
182 WHITE CEDAR DR, SICKLERVILLE, NJ 08081-3409
(609) 707-1032
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02260700
NJ
Other
Enumeration date
11/22/2006
Last updated
05/29/2013
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