Organization
JOSEPH T. KELLY DMD PC
Active
Other names
Kelly Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH THOMAS KELLY JR. DMD (PRESIDENT/OWNER)
(570) 587-4787
Entity
Organization
Contact information
Practice address
103 WEST GROVE ST, CLARKS SUMMIT, PA 18411-2019
(570) 587-4787
(570) 586-2375
Mailing address
103 WEST GROVE ST, CLARKS SUMMIT, PA 18411-2019
(570) 587-4787
(570) 586-2375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DS017660L
PA
122300000X
Dentist
Primary
DS028710L
PA
Other
Enumeration date
08/30/2006
Last updated
07/24/2013
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