Organization
DELBERT R KELLY DDS & ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DELBERT R KELLY DDS (DENTIST)
(423) 265-0419
Entity
Organization
Contact information
Practice address
1042 E 3RD ST, STE 201, CHATTANOOGA, TN 37403
(423) 265-0419
(423) 265-3334
Mailing address
1042 E 3RD ST, STE 201, CHATTANOOGA, TN 37403
(423) 265-0419
(423) 265-3334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS4101
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3225019
—
TN
Enumeration date
11/10/2005
Last updated
08/22/2020
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