J. Don Kelley Dmd Pa | |
4501 Old Spartanburg Rd Ste 4 Taylors SC 29687-4105 | |
(864) 244-0044 | |
(864) 244-1104 |
Full Name | J. Don Kelley Dmd Pa |
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Speciality | Clinic/center - Dental |
Location | 4501 Old Spartanburg Rd Ste 4, Taylors, South Carolina |
Authorized Official Name and Position | Jeffrey Don Kelley (PRESIDENT) |
Authorized Official Contact | 8642440044 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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J. Don Kelley Dmd Pa 4501 Old Spartanburg Rd Ste 4 Taylors SC 29687-4105 Ph: (864) 244-0044 | J. Don Kelley Dmd Pa 4501 Old Spartanburg Rd Ste 4 Taylors SC 29687-4105 Ph: (864) 244-0044 |
NPI Number | 1881830651 |
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Provider Enumeration Date | 12/30/2008 |
Last Update Date | 12/30/2008 |
Identifier | Type | State | Issuer |
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1881830651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 30-01944 (South Carolina) | Primary |
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