Dr Matthew Kelly, DDS | |
9 E Van Buren St, Millstadt, IL 62260-2009 | |
(618) 476-7828 | |
Not Available |
Full Name | Dr Matthew Kelly |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 9 E Van Buren St, Millstadt, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033465042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 2012015661 (Missouri) | Secondary |
1223G0001X | Dentist - General Practice | 019030041 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Kelly, DDS 9 E Van Buren St, Millstadt, IL 62260-2009 Ph: () - | Dr Matthew Kelly, DDS 9 E Van Buren St, Millstadt, IL 62260-2009 Ph: (618) 476-7828 |
Mr. John F Touchette, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9 E Van Buren, Millstadt, IL 62260 Phone: 618-476-7828 | |
Philip Matthew Acker, DDS Dentist Medicare: Medicare Enrolled Practice Location: 502 W Washington, Millstadt, IL 62260 Phone: 618-476-7045 Fax: 618-476-7278 |