| Delbert R Kelly Dds & Assoc | |
|
1042 E 3rd St Ste 201 Chattanooga TN 37403 | |
| (423) 265-0419 | |
| (423) 265-3334 |
| Full Name | Delbert R Kelly Dds & Assoc |
|---|---|
| Speciality | Dentist |
| Location | 1042 E 3rd St, Chattanooga, Tennessee |
| Authorized Official Name and Position | Delbert R Kelly (DENTIST) |
| Authorized Official Contact | 4232650419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Delbert R Kelly Dds & Assoc 1042 E 3rd St Ste 201 Chattanooga TN 37403 Ph: (423) 265-0419 | Delbert R Kelly Dds & Assoc 1042 E 3rd St Ste 201 Chattanooga TN 37403 Ph: (423) 265-0419 |
| NPI Number | 1396726758 |
|---|---|
| Provider Enumeration Date | 11/10/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396726758 | NPI | - | NPPES |
| 3225019 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS4101 (Tennessee) | Primary |
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