| Kelly Dental Care | |
|
103 West Grove St Clarks Summit PA 18411-2019 | |
| (570) 587-4787 | |
| (570) 586-2375 |
| Full Name | Kelly Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 103 West Grove St, Clarks Summit, Pennsylvania |
| Authorized Official Name and Position | Joseph Thomas Kelly (PRESIDENT/OWNER) |
| Authorized Official Contact | 5705874787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Dental Care 103 West Grove St Clarks Summit PA 18411-2019 Ph: (570) 587-4787 | Kelly Dental Care 103 West Grove St Clarks Summit PA 18411-2019 Ph: (570) 587-4787 |
| NPI Number | 1679682751 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 07/24/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679682751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DS028710L (Pennsylvania) | Primary |
| 122300000X | Dentist | DS017660L (Pennsylvania) | Secondary |
Richard S Jones Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 239 Northern Blvd, Suite 7, Clarks Summit, PA 18411 Phone: 570-586-8900 Fax: 570-586-8912 | |
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