DR. GILLIAN R. KELLY (NPI# 1134554165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134554165 |
| Entity Type | Individual |
| Full Name | DR. GILLIAN R. KELLY |
| Credential | D.M.D.,M.S.D. |
| Practice Address |
561 Saybrook Rd Middletown CT 06457-4791 |
| Practice Telephone | 8603469259 |
| Practice Fax Number | 8603469250 |
| Mailing Telephone | 8603469259 |
| Mailing Fax Number | 8603469250 |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2020-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
10949 | CT | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 26 Shunpike Rd, Cromwell, CT 064162442 | 8603469259 |
| Street Address |
561 SAYBROOK RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194730614 | Jeffrey D. Bert, D.d.s., M.d.sc., P.C. | Clinic/Center | 561 Saybrook Rd, Middletown, CT 06457-4718 | 2006-07-31 |
| 1215345145 | Jeffrey Bert | Dentist | 561 Saybrook Rd, Middletown, CT 06457-4791 | 2014-07-23 |
| 1841617933 | Michael Kelly | Dentist | 561 Saybrook Rd, Middletown, CT 06457-4791 | 2014-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972620359 | Skrobola & Schlosser Dds PC | Dentist | 180 Wisner Ave, Middletown, NY 10940-3221 | 2007-03-23 |
| 1306990700 | James L Hurst | Dentist | 137 West Main Rd, Middletown, RI 02842 | 2007-01-22 |
| 1740333145 | James S Rozes | Dentist | 1171 Aquidneck Ave, Middletown, RI 02842-5255 | 2007-01-19 |
| 1831295567 | Haesin S Jung | Dentist | 465 East Main St, Middletown, NY 10940 | 2006-09-16 |
| 1417050733 | William D Engilman | Dentist | 134 N Evergreen Rd, Suite 101, Middletown, KY 40243-1487 | 2006-09-06 |
| 1598732927 | Jeffrey J Kim | Dentist | 400 Midway Park Drive, Middletown, NY 10940 | 2006-03-03 |
| 1922551712 | Michael Skrobola IIi | Dentist | 180 Wisner Ave, Middletown, NY 10940 | 2016-07-27 |
| 1639579576 | Jonathan Schlosser | Dentist | 180 Wisner Ave, Middletown, NY 10940-3221 | 2014-08-28 |
| 1386043479 | Michael Skrobola | Dentist | 180 Wisner Ave, Middletown, NY 10940-3221 | 2014-08-14 |
| 1215345145 | Jeffrey Bert | Dentist | 561 Saybrook Rd, Middletown, CT 06457-4791 | 2014-07-23 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.