Organization
THOMAS S. KELLY, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS S KELLY DDS (PRESIDENT)
(216) 464-3777
Entity
Organization
Contact information
Practice address
3700 PARK EAST DR, SUITE 180, BEACHWOOD, OH 44122-4339
(216) 464-3777
(216) 464-3377
Mailing address
3700 PARK EAST DR, SUITE 180, BEACHWOOD, OH 44122-4339
(216) 464-3777
(216) 464-3377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30-01-9809
OH
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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