| Kelly Orthodontics, Pc | |
|
79 Route 59 Suffern NY 10901 | |
| (845) 357-0200 | |
| (845) 357-0253 |
| Full Name | Kelly Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 79 Route 59, Suffern, New York |
| Authorized Official Name and Position | Michael W Kelly (ORTHODONTIST) |
| Authorized Official Contact | 8453570200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Orthodontics, Pc 79 Route 59 Suffern NY 10901 Ph: (845) 357-0200 | Kelly Orthodontics, Pc 79 Route 59 Suffern NY 10901 Ph: (845) 357-0200 |
| NPI Number | 1528233772 |
|---|---|
| Provider Enumeration Date | 04/29/2008 |
| Last Update Date | 02/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528233772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 0516191 (New York) | Primary |
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