Chelsea Kelly Dds Llc | |
106 N Bryan St Hicksville OH 43526-1004 | |
(419) 542-7748 | |
(419) 542-7749 |
Full Name | Chelsea Kelly Dds Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 106 N Bryan St, Hicksville, Ohio |
Authorized Official Name and Position | Chelsea R Kelly (OWNER/PROVIDER) |
Authorized Official Contact | 4195427748 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chelsea Kelly Dds Llc 106 N Bryan St Hicksville OH 43526-1004 Ph: (419) 542-7748 | Chelsea Kelly Dds Llc 106 N Bryan St Hicksville OH 43526-1004 Ph: (419) 542-7748 |
NPI Number | 1326685728 |
---|---|
Provider Enumeration Date | 12/04/2019 |
Last Update Date | 12/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326685728 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |