| Wayne G Kelly Dds Pc | |
|
342 Beach 54th St Arverne NY 11692-1782 | |
| (718) 474-0801 | |
| (718) 318-2247 |
| Full Name | Wayne G Kelly Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 342 Beach 54th St, Arverne, New York |
| Authorized Official Name and Position | Wayne George Kelly (DENTIST/OWNER) |
| Authorized Official Contact | 7184740801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wayne G Kelly Dds Pc 342 Beach 54th St Arverne NY 11692-1782 Ph: () - | Wayne G Kelly Dds Pc 342 Beach 54th St Arverne NY 11692-1782 Ph: (718) 474-0801 |
| NPI Number | 1750762282 |
|---|---|
| Provider Enumeration Date | 06/10/2015 |
| Last Update Date | 06/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750762282 | NPI | - | NPPES |
| 00778267 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 037615 (New York) | Primary |
Arverne Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Beach 59th St, Arverne, NY 11692 Phone: 718-945-9500 Fax: 718-945-6302 |