| Timothy M. Kelly, Dmd, Pa | |
|
1441 Carlisle Blvd Ne Suite D Albuquerque NM 87110-5610 | |
| (505) 256-1770 | |
| (505) 255-0220 |
| Full Name | Timothy M. Kelly, Dmd, Pa |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 1441 Carlisle Blvd Ne, Albuquerque, New Mexico |
| Authorized Official Name and Position | Timothy M Kelly (OWNER/DENTIST) |
| Authorized Official Contact | 5052561770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy M. Kelly, Dmd, Pa 1441 Carlisle Blvd Ne Suite D Albuquerque NM 87110-5610 Ph: (505) 256-1770 | Timothy M. Kelly, Dmd, Pa 1441 Carlisle Blvd Ne Suite D Albuquerque NM 87110-5610 Ph: (505) 256-1770 |
| NPI Number | 1558736991 |
|---|---|
| Provider Enumeration Date | 12/10/2015 |
| Last Update Date | 02/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558736991 | NPI | - | NPPES |
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