Individual
DR. JOSEPH C KELLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2205 SILVERSIDE ROAD, WILMINGTON, DE 19810
(302) 475-5555
(302) 475-5861
Mailing address
2205 SILVERSIDE ROAD, WILMINGTON, DE 19810
(302) 475-5555
(302) 475-5861
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
BK5934612
DE
1223G0001X
General Practice Dentistry
G1-0001086
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000037979
—
DE
01
—
1760786404
NPI
DE
Enumeration date
08/25/2006
Last updated
04/15/2021
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