| Kelly Dentistry | |
|
2475 Georgetowne Dr Nw Rochester MN 55901-3214 | |
| (507) 280-7557 | |
| Not Available |
| Full Name | Kelly Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2475 Georgetowne Dr Nw, Rochester, Minnesota |
| Authorized Official Name and Position | Laura Irene Kelly (DENTIST) |
| Authorized Official Contact | 5072807557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Dentistry 2475 Georgetowne Dr Nw Rochester MN 55901-3214 Ph: (507) 280-7557 | Kelly Dentistry 2475 Georgetowne Dr Nw Rochester MN 55901-3214 Ph: (507) 280-7557 |
| NPI Number | 1336158575 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336158575 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D11640 (Minnesota) | Primary |
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