Individual
DR. KELLI M. DORSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4414 N FLORISSANT AVE, SAINT LOUIS, MO 63107-1812
(314) 898-1700
(314) 814-8542
Mailing address
PO BOX 551, SAINT LOUIS, MO 63188-0551
(314) 898-1700
(314) 814-8542
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
2013025458
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2013025458
LICENSE
MO
Enumeration date
06/15/2012
Last updated
03/03/2017
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