Individual
DR. KELLY L PRIVETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
760 W CENTRAL AVE, SPRINGBORO, OH 45066-3020
(937) 746-0539
(937) 746-0530
Mailing address
760 W CENTRAL AVE, SPRINGBORO, OH 45066-3020
(937) 746-0539
(937) 746-0530
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-0223822
OH
Other
Enumeration date
08/30/2006
Last updated
02/03/2011
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