| Thomas S. Kelly, Dds, Inc. | |
|
3700 Park East Dr Suite 180 Beachwood OH 44122-4339 | |
| (216) 464-3777 | |
| (216) 464-3377 |
| Full Name | Thomas S. Kelly, Dds, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3700 Park East Dr, Beachwood, Ohio |
| Authorized Official Name and Position | Thomas S Kelly (PRESIDENT) |
| Authorized Official Contact | 2164643777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas S. Kelly, Dds, Inc. 3700 Park East Dr Suite 180 Beachwood OH 44122-4339 Ph: (216) 464-3777 | Thomas S. Kelly, Dds, Inc. 3700 Park East Dr Suite 180 Beachwood OH 44122-4339 Ph: (216) 464-3777 |
| NPI Number | 1689884447 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689884447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 30-01-9809 (Ohio) | Primary |
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